{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T06:23:58Z","timestamp":1780467838085,"version":"3.54.1"},"reference-count":19,"publisher":"International College of Surgeons","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2011,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n        <jats:p>Postoperative complications, such as pancreatic fistulae, after pancreaticoduodenectomy for pancreatic cancers are associated with surgical outcomes of patients with pancreatic cancers. A total of 160 patients with pancreatic cancers undergoing pancreaticoduodenectomy were retrospectively analyzed. Patients were grouped into a fistulae group (n \u200a=\u200a 34) and a nonfistulae group (n \u200a=\u200a 126). The fistulae group had a significantly higher morbidity rate than the nonfistulae group (<jats:italic>P<\/jats:italic> &lt; 0.0001), but hospital mortality was not different in both groups (<jats:italic>P<\/jats:italic> \u200a=\u200a 0.481). There was a higher incidence of intra-abdominal hemorrhage in patients with pancreatic fistulae than in those without fistulae. Two patients in fistulae group underwent reoperation. Patients with pancreatic fistulae had significantly longer hospital stay than those without fistulae. Pancreatic duct diameter, smoking, years of tobaccos consumption, preoperative jaundice, and surgical hours were associated with risk of fistulae on univariate analysis. In a multivariate analysis, diameter of pancreatic duct, surgical hours, and preoperative jaundice were independent risk factors of pancreatic fistulae. Incidence of pancreatic fistulae after pancreaticoduodenectomy is significantly influenced by the size of pancreatic duct diameter, surgical time, and preoperative jaundice. Early postoperative hemorrhage could be cautiously prevented. The survival is not significantly impacted by pancreatic fistulae.<\/jats:p>","DOI":"10.9738\/cc17.1","type":"journal-article","created":{"date-parts":[[2012,12,13]],"date-time":"2012-12-13T18:35:30Z","timestamp":1355423730000},"page":"220-227","source":"Crossref","is-referenced-by-count":15,"title":["Complications After Pancreaticoduodenectomy for Pancreatic Cancer: A Retrospective Study"],"prefix":"10.9738","volume":"96","author":[{"given":"Shiyan","family":"Ren","sequence":"first","affiliation":[{"name":"Department of Surgery, China-Japan Friendship Hospital, Chaoyang District, Beijing, China"},{"name":"Department of Surgery, PLA General Hospital, Beijing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peng","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Surgery, China-Japan Friendship Hospital, Chaoyang District, Beijing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ningxin","family":"Zhou","sequence":"additional","affiliation":[{"name":"Department of Surgery, PLA General Hospital, Beijing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jiahong","family":"Dong","sequence":"additional","affiliation":[{"name":"Department of Surgery, PLA General Hospital, Beijing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rong","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Surgery, PLA General Hospital, Beijing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wenbin","family":"Ji","sequence":"additional","affiliation":[{"name":"Department of Surgery, PLA General Hospital, Beijing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"4721","reference":[{"issue":"9","key":"i0020-8868-96-3-220-Langrehr1","series-title":"World J Surg","first-page":"1111","article-title":"Prospective randomized comparison between a new mattress technique and Catell (duct-to-mucosa) pancreaticojejunostomy for pancreatic resection.","volume":"29","author":"Langrehr, JM","year":"2005","unstructured":"Langrehr, JM, BahraM, JacobD, GlanemannM, and NeuhausP. Prospective randomized comparison between a new mattress technique and Catell (duct-to-mucosa) pancreaticojejunostomy for pancreatic resection.World J Surg2005. 29 (9):1111\u20131119."},{"issue":"11","key":"i0020-8868-96-3-220-Ohwada1","series-title":"Arch Surg","first-page":"1289","article-title":"In situ vs ex situ pancreatic duct stents of duct-to-mucosa pancreaticojejunostomy after pancreaticoduodenectomy with billroth I-type reconstruction.","volume":"137","author":"Ohwada, S","year":"2002","unstructured":"Ohwada, S, TanahashiY, OgawaT, KawateS, HamadaK, TagoKI, et al. In situ vs ex situ pancreatic duct stents of duct-to-mucosa pancreaticojejunostomy after pancreaticoduodenectomy with billroth I-type reconstruction.Arch Surg2002. 137 (11):1289\u20131293."},{"issue":"3","key":"i0020-8868-96-3-220-Sanjay1","series-title":"J Pancreas (Online)","first-page":"220","article-title":"Late post pancreatectomy haemorrhage. Risk factors and modern management.","volume":"11","author":"Sanjay, P","year":"2010","unstructured":"Sanjay, P, FawziA, FulkeJL, KulliC, TaitIS, ZealleyIA, et al. Late post pancreatectomy haemorrhage. Risk factors and modern management.J Pancreas (Online)2010. 11 (3):220\u2013225."},{"issue":"9","key":"i0020-8868-96-3-220-Winter1","series-title":"J Gastrointest Surg","first-page":"1280","article-title":"Does pancreatic duct stenting decrease the rate of pancreatic fistula following pancreaticoduodenectomy? Results of a prospective randomized trial.","volume":"10","author":"Winter, JM","year":"2006","unstructured":"Winter, JM, CameronJL, CampbellKA, ChangDC, RiallTS, SchulickRD, et al. Does pancreatic duct stenting decrease the rate of pancreatic fistula following pancreaticoduodenectomy? 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Reconstruction by pancreaticojejunostomy versus pancreaticogastrostomy following pancreatectomy: results of a comparative study.Ann Surg2005. 242 (6):767\u2013771; discussion 771\u2013773."},{"issue":"6","key":"i0020-8868-96-3-220-Duffas1","series-title":"Am J Surg","first-page":"720","article-title":"A controlled randomized multicenter trial of pancreatogastrostomy or pancreatojejunostomy after pancreatoduodenectomy.","volume":"189","author":"Duffas, JP","year":"2005","unstructured":"Duffas, JP, SucB, MsikaS, FourtanierG, MuscariF, HayJM, et al. 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Hemorrhage after pancreaticoduodenectomy: when is surgery still indicated?Am J Surg2007. 194 (1):3\u20139."}],"container-title":["International Surgery"],"original-title":[],"link":[{"URL":"https:\/\/international-surgery.kglmeridian.com\/view\/journals\/insu\/96\/3\/article-p220.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/meridian.allenpress.com\/international-surgery\/article-pdf\/96\/3\/220\/2213724\/cc17_1.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/international-surgery.kglmeridian.com\/downloadpdf\/journals\/insu\/96\/3\/article-p220.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/international-surgery.kglmeridian.com\/downloadpdf\/journals\/insu\/96\/3\/article-p220.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,7,2]],"date-time":"2025-07-02T19:06:31Z","timestamp":1751483191000},"score":1,"resource":{"primary":{"URL":"https:\/\/international-surgery.kglmeridian.com\/view\/journals\/insu\/96\/3\/article-p220.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2011,7]]},"references-count":19,"journal-issue":{"issue":"3"},"URL":"https:\/\/doi.org\/10.9738\/cc17.1","relation":{},"ISSN":["0020-8868","2520-2456"],"issn-type":[{"value":"0020-8868","type":"print"},{"value":"2520-2456","type":"electronic"}],"subject":[],"published":{"date-parts":[[2011,7]]}}}