Perioperative and follow-up results after central pancreatic head resection (Berne technique) in a consecutive series of patients with chronic pancreatitis

Mueller M. W., Friess H., Leitzbach S., Michalski C. W., Berberat P., Ceyhan G., ...Daha Fazla

AMERICAN JOURNAL OF SURGERY, cilt.196, sa.3, ss.364-372, 2008 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 196 Sayı: 3
  • Basım Tarihi: 2008
  • Doi Numarası: 10.1016/j.amjsurg.2007.08.065
  • Dergi Adı: AMERICAN JOURNAL OF SURGERY
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.364-372
  • Anahtar Kelimeler: chronic pancreatitis, pancreatic-head resection, surgery, DUODENUM-PRESERVING RESECTION, QUALITY-OF-LIFE, RANDOMIZED-TRIAL, LONGITUDINAL PANCREATICOJEJUNOSTOMY, PANCREATICODUODENECTOMY, PYLORUS, DRAINAGE, WHIPPLE, MANAGEMENT, CARCINOMA
  • Acıbadem Mehmet Ali Aydınlar Üniversitesi Adresli: Hayır

Özet

BACKGROUND: Many patients require surgery for chronic pancreatitis (CP). By combining the essences of the Beger and the Frey procedures, a hybrid procedure was developed: central pancreatichead resection (CPHR) (Berne technique). METHODS: A prospective evaluation of 100 consecutive patients who underwent CPHR for CP between January 2002 and December 2006 was performed. Long-term follow-up, including quality-of-life (QOL) assessment, was carried out. RESULTS: The hospital mortality rate was 1%; the surgical morbidity rate was 16%; and the relaparotomy rate was 6%. Mean surgery time was 295 +/- 7 minutes; mean intraoperative blood loss was 763 +/- 75 mL; and the mean postsurgical hospital stay was 11.4 +/-.8 days. After a median follow-up of 41 months, pain was improved in 55% of patients; weight increase occurred in 67% of patients; and insulin-dependent diabetes mellitus developed in 22% of the patients. Comparison of QOL parameters with a German adult control population showed no statistically significant differences. CONCLUSIONS: CPHR is a safe surgical option to resolve CP-associated problems. Long-term follow-up QOL after CPHR shows results comparable with date published data after the Beger and the Frey procedures. (c) 2008 Published by Elsevier Inc.