Risk Factors of Pancreatic leakage AfterWhipple’s Procedure

Abstract

Abstract Background Pancreaticoduedenectomy is the operative of choice in cases of resectable tumors of the periampullary region. Critical step in pancreatic surgery is no longer the resection itself but the reconstruction of the pancreaticoenteric anastomosis. Different methods of pancreatic reconstruction have been proposed aiming to limit the rate of leakage of pancreatic anastomosis. Aim of the Work to evaluate the risk factors of pancreatic remnant leakage after Whipple’s procedure as regards risk factors of the diameter of the pancereatic duct and the texture of the pancereatic remnant during operation (soft or firm). Patients and Methods A prospective study conducted on 30 patients who underwent pancreaticoduodenectomy in Ain Shams University Hospitals during the period from June 2012 to June 2018 to evaluate the risk factors of pancreatic leakage after Whipple’s procedure regarding pancreatic duct diameter and pancreatic remnant texture. Results 60% of leakage group had soft pancreas and narrow pancreatic duct less than 3mm, while 40% of non leakage group had soft pancreas and narrow pancreatic duct less than 3mm. Conclusion strong correlation between postoperative pancreatic leakage and narrow pancreatic duct as well as soft pancreas. Statistics proved that correlation and also, the relation of high mortality rate among those who developed postoperative pancreatic fistula.