Fluid collection after distal pancreatectomy

• Verfasst von: Tjaden, Christin [VerfasserIn]
• Verfasst von: Hinz, Ulf [VerfasserIn]
• Verfasst von: Hassenpflug, Matthias [VerfasserIn]
• Verfasst von: Fritz, Franziska [VerfasserIn]
• Verfasst von: Fritz, Stefan [VerfasserIn]
• Verfasst von: Grenacher, Lars [VerfasserIn]
• Verfasst von: Büchler, Markus W. [VerfasserIn]
• Verfasst von: Hackert, Thilo [VerfasserIn]
• Titel: Fluid collection after distal pancreatectomy
• Titelzusatz: a frequent finding
• Verf.angabe: Christin Tjaden, Ulf Hinz, Matthias Hassenpflug, Franziska Fritz, Stefan Fritz, Lars Grenacher, Markus W. Büchler & Thilo Hackert
• E-Jahr: 2016
• Jahr: [2016]
• Umfang: 6 S.
• Illustrationen: Illustrationen
• Fussnoten: Gesehen am 27.05.2020
• Titel Quelle: Enthalten in: HPB
• Ort Quelle: [London] : Elsevier, 1999
• Jahr Quelle: 2016
• Band/Heft Quelle: 18(2016), 1, Seite 35-40
• ISSN Quelle: 1477-2574
• DOI: doi:10.1016/j.hpb.2015.10.006
• Datenträger: Online-Ressource
• Sprache: eng
• K10plus-PPN: 1698901933

Abstract

Background - Fluid collections (FC) at the resection margin of the pancreatic stump after distal pancreatectomy (DP) are common radiological findings in follow-up scans. No recommendations exist regarding the management of such findings. The aim was to characterise incidence, risk factors, clinical impact and therapy of FC. - Method - Data of 209 patients who underwent DP between 07/2009 and 06/2011 were prospectively collected and analysed, regarding follow-up CT or MRI scan findings of FC at the resection margin. FC was defined as a cyst-like lesion >1 cm in diameter. - Results - A follow-up with at least two cross-sectional images was available in 159/209 patients. In the first postoperative control, 68 patients showed an FC (43%). FC size was classified as <5 cm (n = 38 pat.), 5-10 cm (n = 24 pat.) and >10 cm (n = 6 pat.). 20 patients (30%) showed clinical symptoms. Six patients (9%) required specific treatment, all other FC showed spontaneous regression. No correlation with stump closure techniques or preceding postoperative pancreatic fistula was found (4/68 patients, 6%). Multivariate analysis revealed standard resections as the only significant factor for FC. - Conclusions - FCs at the resection margin after DP are frequent and harmless findings. Therapeutic interventions are required in only 9% of all FC patients.