Riccardo Casadei, Claudio Ricci, Raffaele Pezzilli, Lucia Calculli, Marielda D'Ambra, Giovanni Taffurelli, Francesco Minni
Context The absence of a definition and a widely accepted ranking system to classify surgical complications has hampered proper interpretation of the surgical outcome. Patients Sixty-one patients undergoing distal pancreatectomy. Main outcome measures The complications were classified according to the Clavien-Dindo classification; each grade was evaluated regarding the length of the postoperative stay and was compared to the most important complications. Results Thirty (49.2%) patients had no complications; out of the thirty-one (50.8%) patients with complications, 9 (14.5%) had grade I, 15 (24.6%) had grade II, 6 (9.8%) had grade III, and 1 (1.6%) had grade IV. There were no postoperative deaths (grade V). A progressive increase in the length of hospitalization from patients with no complications to those having grade IV (P<0.001) was noted. Postoperative pancreatic fistula and postpancreatectomy hemorrhage rates did not significantly increase from Clavien-Dindo grade I to grade IV (P=0.118 and P=0.226, respectively). The severity of a postpancreatectomy hemorrhage, instead, was positively related to the grade of the Clavien-Dindo classification (P=0.049) while postoperative pancreatic fistula resulted near the significant value (P=0.058). Conclusions The Clavien-Dindo classification is a simple way of reporting all complications following distal pancreatectomy. It allows us to distinguish a normal postoperative course from any deviation and the severity of complications and it may be useful for comparing postoperative morbidity between different pancreatic centers.
details summary { cursor: pointer; color: #f8f9fa; } a { font-size: 11px; opacity: 0.5; }References Best Betting Sites in China Blog | Real Estate in Australia Blog | Real Estate in Spain Find Lawyer in Illinois Find Lawyer in Colorado Blog | Real Estate in France Info Alt Coins Reverse Mortgage in USA Blog | Real Estate in Japan Blog | Real Estate in Mexico Find Lawyer in Alabama Blog | Real Estate in Russia Car Insurance in Ohio Blog | Real Estate in Thailand Auto Insurance in New York Blog | Real Estate in Turkey Mortgage Calculator Blog | Mortgage Broker in USA Blog | Mortgage Company in USA Mortgage info in Washington
