Comparison of three fistula risk scores after pancreatoduodenectomy: A single-institution retrospective study
Summary: Background: Postoperative pancreatic fistula (POPF) after pancreatoduodenectomy greatly influences patients' postoperative course. Several evaluation methods have been used to assess the risk of clinically relevant POPF (CR-POPF) after pancreatoduodenectomy namely, the original, alter...
Main Authors: | , , , , , , , , , , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Elsevier
2021-01-01
|
Series: | Asian Journal of Surgery |
Subjects: | |
Online Access: | http://www.sciencedirect.com/science/article/pii/S1015958420301196 |
id |
doaj-f2b532c910da4eeda90dfb582ada7c86 |
---|---|
record_format |
Article |
spelling |
doaj-f2b532c910da4eeda90dfb582ada7c862021-01-02T05:07:30ZengElsevierAsian Journal of Surgery1015-95842021-01-01441143146Comparison of three fistula risk scores after pancreatoduodenectomy: A single-institution retrospective studyHironori Hayashi0Koji Amaya1Yuta Fujiwara2Ryutaro Tokai3Yuya Sugimoto4Yu Hashimoto5Makoto Nakura6Shunsuke Kawai7Takahisa Yamaguchi8Atsushi Hirose9Toshifumi Watanabe10Tomoya Tsukada11Masahide Kaji12Kiichi Maeda13Koichi Shimizu14Corresponding author. Tel.: +81 76 424 1531; fax: +81 76 422 0667.; Department of Surgery, Toyama Prefectural Central Hospital, 2-2-78 Nishi-nagae, Toyama, 930-8550, JapanDepartment of Surgery, Toyama Prefectural Central Hospital, 2-2-78 Nishi-nagae, Toyama, 930-8550, JapanDepartment of Surgery, Toyama Prefectural Central Hospital, 2-2-78 Nishi-nagae, Toyama, 930-8550, JapanDepartment of Surgery, Toyama Prefectural Central Hospital, 2-2-78 Nishi-nagae, Toyama, 930-8550, JapanDepartment of Surgery, Toyama Prefectural Central Hospital, 2-2-78 Nishi-nagae, Toyama, 930-8550, JapanDepartment of Surgery, Toyama Prefectural Central Hospital, 2-2-78 Nishi-nagae, Toyama, 930-8550, JapanDepartment of Surgery, Toyama Prefectural Central Hospital, 2-2-78 Nishi-nagae, Toyama, 930-8550, JapanDepartment of Surgery, Toyama Prefectural Central Hospital, 2-2-78 Nishi-nagae, Toyama, 930-8550, JapanDepartment of Surgery, Toyama Prefectural Central Hospital, 2-2-78 Nishi-nagae, Toyama, 930-8550, JapanDepartment of Surgery, Toyama Prefectural Central Hospital, 2-2-78 Nishi-nagae, Toyama, 930-8550, JapanDepartment of Surgery, Toyama Prefectural Central Hospital, 2-2-78 Nishi-nagae, Toyama, 930-8550, JapanDepartment of Surgery, Toyama Prefectural Central Hospital, 2-2-78 Nishi-nagae, Toyama, 930-8550, JapanDepartment of Surgery, Toyama Prefectural Central Hospital, 2-2-78 Nishi-nagae, Toyama, 930-8550, JapanDepartment of Surgery, Toyama Prefectural Central Hospital, 2-2-78 Nishi-nagae, Toyama, 930-8550, JapanDepartment of Surgery, Toyama Prefectural Central Hospital, 2-2-78 Nishi-nagae, Toyama, 930-8550, JapanSummary: Background: Postoperative pancreatic fistula (POPF) after pancreatoduodenectomy greatly influences patients' postoperative course. Several evaluation methods have been used to assess the risk of clinically relevant POPF (CR-POPF) after pancreatoduodenectomy namely, the original, alternative, and updated alternative fistula risk scores (o-FRS, a-FRS, and ua-FRS, respectively). Methods: We enrolled 106/179 patients who underwent pancreatoduodenectomy in our institution between April 2013 and Mar 2018. CR-POPF was defined as grade B and C POPF according to the 2016 definitions of the International Study Group on Pancreatic Surgery. Results: Pancreatic gland texture was the only significant risk factor for CR-POPF (p = 0.007). The CR-POPF incidence increased significantly according to the risk groups defined by both o-FRS (p = 0.004) and a-FRS (p = 0.004). The area under the curve for o-FRS, a-FRS, and ua-FRS was 0.693, 0.693, and 0.671, respectively. Conclusion: o-FRS, a-FRS, and ua-FRS were almost equally useful for risk evaluation for CR-POPF after pancreatoduodenectomy. Further studies, especially for preoperative objective evaluation of pancreatic gland texture, are needed for more useful and accurate risk evaluation.http://www.sciencedirect.com/science/article/pii/S1015958420301196Pancreatic fistulaPancreatoduodenectomyPostoperative morbidityRisk calculation |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Hironori Hayashi Koji Amaya Yuta Fujiwara Ryutaro Tokai Yuya Sugimoto Yu Hashimoto Makoto Nakura Shunsuke Kawai Takahisa Yamaguchi Atsushi Hirose Toshifumi Watanabe Tomoya Tsukada Masahide Kaji Kiichi Maeda Koichi Shimizu |
spellingShingle |
Hironori Hayashi Koji Amaya Yuta Fujiwara Ryutaro Tokai Yuya Sugimoto Yu Hashimoto Makoto Nakura Shunsuke Kawai Takahisa Yamaguchi Atsushi Hirose Toshifumi Watanabe Tomoya Tsukada Masahide Kaji Kiichi Maeda Koichi Shimizu Comparison of three fistula risk scores after pancreatoduodenectomy: A single-institution retrospective study Asian Journal of Surgery Pancreatic fistula Pancreatoduodenectomy Postoperative morbidity Risk calculation |
author_facet |
Hironori Hayashi Koji Amaya Yuta Fujiwara Ryutaro Tokai Yuya Sugimoto Yu Hashimoto Makoto Nakura Shunsuke Kawai Takahisa Yamaguchi Atsushi Hirose Toshifumi Watanabe Tomoya Tsukada Masahide Kaji Kiichi Maeda Koichi Shimizu |
author_sort |
Hironori Hayashi |
title |
Comparison of three fistula risk scores after pancreatoduodenectomy: A single-institution retrospective study |
title_short |
Comparison of three fistula risk scores after pancreatoduodenectomy: A single-institution retrospective study |
title_full |
Comparison of three fistula risk scores after pancreatoduodenectomy: A single-institution retrospective study |
title_fullStr |
Comparison of three fistula risk scores after pancreatoduodenectomy: A single-institution retrospective study |
title_full_unstemmed |
Comparison of three fistula risk scores after pancreatoduodenectomy: A single-institution retrospective study |
title_sort |
comparison of three fistula risk scores after pancreatoduodenectomy: a single-institution retrospective study |
publisher |
Elsevier |
series |
Asian Journal of Surgery |
issn |
1015-9584 |
publishDate |
2021-01-01 |
description |
Summary: Background: Postoperative pancreatic fistula (POPF) after pancreatoduodenectomy greatly influences patients' postoperative course. Several evaluation methods have been used to assess the risk of clinically relevant POPF (CR-POPF) after pancreatoduodenectomy namely, the original, alternative, and updated alternative fistula risk scores (o-FRS, a-FRS, and ua-FRS, respectively). Methods: We enrolled 106/179 patients who underwent pancreatoduodenectomy in our institution between April 2013 and Mar 2018. CR-POPF was defined as grade B and C POPF according to the 2016 definitions of the International Study Group on Pancreatic Surgery. Results: Pancreatic gland texture was the only significant risk factor for CR-POPF (p = 0.007). The CR-POPF incidence increased significantly according to the risk groups defined by both o-FRS (p = 0.004) and a-FRS (p = 0.004). The area under the curve for o-FRS, a-FRS, and ua-FRS was 0.693, 0.693, and 0.671, respectively. Conclusion: o-FRS, a-FRS, and ua-FRS were almost equally useful for risk evaluation for CR-POPF after pancreatoduodenectomy. Further studies, especially for preoperative objective evaluation of pancreatic gland texture, are needed for more useful and accurate risk evaluation. |
topic |
Pancreatic fistula Pancreatoduodenectomy Postoperative morbidity Risk calculation |
url |
http://www.sciencedirect.com/science/article/pii/S1015958420301196 |
work_keys_str_mv |
AT hironorihayashi comparisonofthreefistulariskscoresafterpancreatoduodenectomyasingleinstitutionretrospectivestudy AT kojiamaya comparisonofthreefistulariskscoresafterpancreatoduodenectomyasingleinstitutionretrospectivestudy AT yutafujiwara comparisonofthreefistulariskscoresafterpancreatoduodenectomyasingleinstitutionretrospectivestudy AT ryutarotokai comparisonofthreefistulariskscoresafterpancreatoduodenectomyasingleinstitutionretrospectivestudy AT yuyasugimoto comparisonofthreefistulariskscoresafterpancreatoduodenectomyasingleinstitutionretrospectivestudy AT yuhashimoto comparisonofthreefistulariskscoresafterpancreatoduodenectomyasingleinstitutionretrospectivestudy AT makotonakura comparisonofthreefistulariskscoresafterpancreatoduodenectomyasingleinstitutionretrospectivestudy AT shunsukekawai comparisonofthreefistulariskscoresafterpancreatoduodenectomyasingleinstitutionretrospectivestudy AT takahisayamaguchi comparisonofthreefistulariskscoresafterpancreatoduodenectomyasingleinstitutionretrospectivestudy AT atsushihirose comparisonofthreefistulariskscoresafterpancreatoduodenectomyasingleinstitutionretrospectivestudy AT toshifumiwatanabe comparisonofthreefistulariskscoresafterpancreatoduodenectomyasingleinstitutionretrospectivestudy AT tomoyatsukada comparisonofthreefistulariskscoresafterpancreatoduodenectomyasingleinstitutionretrospectivestudy AT masahidekaji comparisonofthreefistulariskscoresafterpancreatoduodenectomyasingleinstitutionretrospectivestudy AT kiichimaeda comparisonofthreefistulariskscoresafterpancreatoduodenectomyasingleinstitutionretrospectivestudy AT koichishimizu comparisonofthreefistulariskscoresafterpancreatoduodenectomyasingleinstitutionretrospectivestudy |
_version_ |
1724359841106886656 |