Kocaeli Med J. 2024; 13(2): 100-105 | DOI: 10.5505/ktd.2024.54765

Predictive Factors for Postoperative Pancreatic Fistula in Distal Pancreatectomy

Ahmet Tarýk Harmantepe¹, Enis Dikicier², Emre Gonullu², Bahaeddin Umur Aka³, Necattin Firat², Ömer Faruk Ateþ⁴, Fatih Altintoprak², Fehmi Çelebi^2
1Department of General Surgery, Akcakale State Hospital, Sanlýurfa, Türkiye.
²Department of General Surgery, Sakarya University Faculty of Medicine, Sakarya, Türkiye.
³Department of General Surgery, Sakarya Training and Research Hospital, Sakarya, Türkiye.
⁴Department of Radiology, Sakarya University Faculty of Medicine, Sakarya, Türkiye.

INTRODUCTION: Postoperative pancreatic fistula (POPF) after pancreatectomy can cause major complications. The aim of this study is to evaluate the risk factors affecting POPF after distal pancreatectomy (DP) and to discuss its clinical significance.
METHODS: Thirty-seven patients who underwent distal pancreatectomy between January 2015 and January 2021 at Sakarya University Training and Research Hospital were retrospectively analyzed. Demographic characteristics and clinical parameters of the patients were evaluated using analyzes to determine the risk factors causing POPF. p< 0.05 was considered statistically significant.
RESULTS: POPF was observed in 20 (54.05%) of 37 patients, while POPF was not observed in 17 (45.94%) patients. No effect of the patient's gender, age, preoperative serum-based inflammatory indicators, subcutaneous adipose tissue size, perinephric adipose tissue size, and psoas muscle area on POPF was observed. It was determined that pancreatic duct diameter greater than 2 mm increased POPF (p=0,009).
DISCUSSION AND CONCLUSION: POPF is a common complication after distal pancreatectomy. Pancreatic duct diameter greater than 2 mm may increase the risk of POPF.

Keywords: fistula, pancreatectomy, postoperative, risk factors

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Distal Pankreatektomide Postoperatif Pankreatik Fistülü Öngören Faktörler

Ahmet Tarýk Harmantepe¹, Enis Dikicier², Emre Gonullu², Bahaeddin Umur Aka³, Necattin Firat², Ömer Faruk Ateþ⁴, Fatih Altintoprak², Fehmi Çelebi^2
1Akçakale Devlet Hastanesi Genel Cerrahi Kliniði, Þanlýurfa, Türkiye.
²Sakarya Üniversitesi Týp Fakültesi Genel Cerrahi Anabilim Dalý, Sakarya, Türkiye.
³Sakarya Eðitim ve Araþtýrma Hastanesi Genel Cerrahi Kliniði, Sakarya, Türkiye.
⁴Sakarya Üniversitesi Týp Fakültesi Radyoloji Anabilim Dalý, Sakarya, Türkiye.

GÝRÝÞ ve AMAÇ: Pankreatektomi sonrasý görülen postoperatif pankreatik fistül (POPF) major komplikasyonlara neden olabilmektedir. Bu çalýþmanýn amacý, distal pankreatektomi (DP) sonrasý POPF'ü etkileyen risk faktörlerini deðerlendirmek ve klinik önemini tartýþmaktýr.

YÖNTEM ve GEREÇLER: Sakarya Üniversitesi Eðitim ve Araþtýrma Hastanesinde Ocak 2015 ve Ocak 2021 arasýnda distal pankreatektomi yapýlan 37 hasta retrospektif incelendi. POPF'ye sebep olan risk faktörlerini belirlemek için hastalarýn demografik özellikleri, klinik parametreleri analizler kullanýlarak deðerlendirildi. P < 0.05 istatistiksel olarak anlamlý kabul edildi.

BULGULAR: 37 hastanýn 20’sinde (%54,05) POPF geliþirken, 17’ sinde (%45,94) POPF gözlenmedi. Hastanýn cinsiyetinin, yaþýnýn, preoperatif serum-based inflammatory indicatorlerinin, cilt altý yað dokusu, perinefrik yað dokusu kalýnlýðýnýn, psoas kasý alanýnýn POPF’e etkisi gözlenmedi. Pankreas kanal çapýnýn 2mm’den büyük olmasý POPF’ü arttýrdýðý tespit edildi. (p=0,009).

TARTIÞMA ve SONUÇ: Distal pankreatektomi sonrasý POPF sýk görülen komplikasyondur. Pankreas kanal çapýnýn 2 mm’den büyük olmasý POPF’ ü arttýrabilir.

Anahtar Kelimeler: fistül, pankreatektomi, postoperatif, risk faktörleri

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