Journal of Gastrointestinal Surgery

, Volume 15, Issue 1, pp 191–198

Contemporary Single-Center Surgical Experiences in Redo Procedures of the Pancreas: Improved Outcome and Reduction of Operative Risk

  • Sabine Kersting
  • Monika Silvia Janot
  • Ansgar Michael Chromik
  • Dominique Suelberg
  • Waldemar Uhl
  • Matthias Hartmut Seelig
Original Article

Abstract

Introduction

Redo procedures of the pancreas are complex operations associated with significant morbidity and mortality rates. The operative risk may be minimised when indications for redo procedure are well reflected and operation is performed by an experienced surgeon. The aim of this study was to confirm this hypothesis evaluating our experiences with redo procedures.

Methods

We reviewed 28 patients (mean age of 54 years; range 11–75 years) undergoing a redo procedure of the pancreas from January 2004 to June 2008 at our hospital. The term redo procedure was defined as a pancreatic reoperation that was carried out after preceding pancreatic surgery. Relaparotomies following acute complications after pancreatic surgery were not taken into consideration.

Results

The following parameters were evaluated: median operative time 332 min (range 160–730 min), median intraoperative blood loss 625 ml (range 300–2,800 ml), median postoperative stay on Intensive Care Unit 20 h (range 0–112 h), median postoperative hospital stay 15 days (range 7–98), morbidity (14%), and mortality (3.6%).

Conclusions

Redo procedures of the pancreas can be performed with low complication rates. In order to achieve a satisfactory outcome, the indication of redo procedures has to be well reflected, and operation may be performed by specialised and experienced surgeons.

Keywords

Pancreatic surgery Redo procedure Chronic pancreatitis Operative risk Outcome 

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Copyright information

© The Society for Surgery of the Alimentary Tract 2010

Authors and Affiliations

  • Sabine Kersting
    • 1
  • Monika Silvia Janot
    • 1
  • Ansgar Michael Chromik
    • 1
  • Dominique Suelberg
    • 1
  • Waldemar Uhl
    • 1
  • Matthias Hartmut Seelig
    • 1
  1. 1.Department of General Surgery, St. Josef-HospitalRuhr University BochumBochumGermany

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