Risk Score for Prediction of Severe Postoperative Complications After Pancreaticoduodenectomy

Authors

  • Surendra Shah Department of Surgery, Patan Hospital, Patan Academy of Health Sciences, Lagankhel, Lalitpur, Nepal
  • Ramesh S Bhandari 2Department of Gastrointestinal and General Surgery, Maharajgunj Medical Campus, Tribhuvan University Teaching Hospital, Institute of Medicine, Maharajgunj, Kathmandu, Nepal
  • Pradeep Vaidya Department of Gastrointestinal and General Surgery, Maharajgunj Medical Campus, Tribhuvan University Teaching Hospital, Institute of Medicine, Maharajgunj, Kathmandu, Nepal
  • Yogendra P Singh Department of Gastrointestinal and General Surgery, Maharajgunj Medical Campus, Tribhuvan University Teaching Hospital, Institute of Medicine, Maharajgunj, Kathmandu, Nepal
  • Paleswan Joshi Lakhey Department of Gastrointestinal and General Surgery, Maharajgunj Medical Campus, Tribhuvan University Teaching Hospital, Institute of Medicine, Maharajgunj, Kathmandu, Nepal

DOI:

https://doi.org/10.3126/jiom.v43i1.37464

Keywords:

Pancreaticoduodenectomy, postoperative pancreatic fistula, severe postoperative complications

Abstract

Introduction
Morbidity after pancreaticoduodenectomy (PD) still remains high. Postoperative pancreatic fistula (POPF) is the most common cause of increased morbidity after PD. Assessment of predictability of risk score for severe postoperative complications was the objective of this study.

Methods
This was a retrospective observational study. Patients undergoing pancreaticoduodenectomy at Tribhuvan University Teaching Hospital (TUTH) between January 2017 to December 2017 were included in the study. Variables were recorded from case sheets of the patients. The “Risk Score” was calculated using the pancreatic duct diameter and body mass index (BMI). Association of risk score and severe postoperative complications were analyzed.

Results
A total number of patients were 43, including 23 (53.5%) males and 20 (46.5%) females. The mean age was 57.09 ± 11.85 years ranges from 29 years to 76 years. The POPF and delayed gastric emptying (DGE) was 23.3% (10/43); and post-pancreaticoduodenectomy hemorrhage (PPH) was 11.6% (5/43). Severe postoperative complications were present in 13.9% (6/43) patients. In univariate analysis, pancreatic duct diameter (p=0.045) and Risk Score (p=0.02) were significantly associated with severe postoperative complications after PD. However none of them were significant in multivariate analysis.

Conclusion
Risk score failed to predict severe postoperative complication after pancreaticoduodenectomy.

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Published

2021-04-30

How to Cite

Shah, S., Bhandari, R. S., Vaidya, P., Singh, Y. P., & Joshi Lakhey, P. (2021). Risk Score for Prediction of Severe Postoperative Complications After Pancreaticoduodenectomy. Journal of Institute of Medicine Nepal, 43(1), 11–14. https://doi.org/10.3126/jiom.v43i1.37464

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Section

Original Articles