The evaluation of quality indicators in distal pancreatectomy (DP)

Abstract

Introduction: The DP presents high morbidity rates in the literature, exceeding 50%. The evaluation of quality indicators is an important tool to improve the procedure. Objective: To present the quality indicators in the DP in the Digestive Surgery Service at São Rafael Hospital – Salvador – Bahia. Patients and methods: A total of 44 patients had their datas collected, through standardized forms, prospectively between 2010 and 2015. Half the patients were operated laparoscopically. There were evaluated complications related or unrelated to the surgical site, blood transfusion, length of hospital stay, readmission, reoperation, 30 days mortality. Results: Total 44 patients, 29 (66%) were female, with a mean age of 49 years. 25 patients had complications (56.8%): (Clavien I and II), 19 (76%) and 6 (24%) Clavien–Dindo III. Mortality rate was (2%). Respiratore infection (2%). One patient (2%) received blood transfusion after surgery. The average length of stay was 5 days. Five patients were readmitted (12.5%): Four patients had abscesses, two were drained by radiointervention, 1 was drained by laparotomy and 1 had conservative approach. One case of pseudo aneurysm of the splenic artery, initially treated by embolization has failured and was necessary a laparotomy. Conclusion: The quality indicators are within the literature patterns.