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Galchina Yu.S.

Vishnevsky Institute of Surgery, Moscow, Russia

Karmazanovskiĭ G.G.

FGBU "Institut khirurgii im. A.V. Vishnevskogo" Minzdrava Rossii, Moskva

Kondratyev E.V.

Vishnevsky National Medical Research Center for Surgery of the Ministry of Health of Russia, Moscow, Russia

Gorin D.S.

Institut khirurgii im. A.V. Vishnevskogo, Moskva

Galkin G.V.

Vishnevsky National Medical Research Center of Surgery of Healthcare Ministry of Russia, Moscow, Russia

Kriger A.G.

Institut khirurgii im. A.V. Vishnevskogo, Moskva

Contrast-enhanced computed tomography in evaluation of pancreatic stump volume in pancreaticoduodenectomy

Authors:

Galchina Yu.S., Karmazanovskiĭ G.G., Kondratyev E.V., Gorin D.S., Galkin G.V., Kriger A.G.

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Journal: Pirogov Russian Journal of Surgery. 2020;(6): 31‑37

DOI: 10.17116/hirurgia202006131

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CONTRAST-ENHANCED COMPUTED TOMOGRAPHY IN EVALUATION OF PANCREATIC STUMP VOLUME IN PANCREATICODUODENECTOMY
CONTRAST-ENHANCED COMPUTED TOMOGRAPHY IN EVALUATION OF PANCREATIC STUMP VOLUME IN PANCREATICODUODENECTOMY

To cite this article:

Galchina YuS, Karmazanovskiĭ GG, Kondratyev EV, Gorin DS, Galkin GV, Kriger AG. Contrast-enhanced computed tomography in evaluation of pancreatic stump volume in pancreaticoduodenectomy. Pirogov Russian Journal of Surgery. 2020;(6):31‑37. (In Russ.)
https://doi.org/10.17116/hirurgia202006131

Подписка 2025-2 (Pirogov Russian Journal of Surgery)
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Objective. To analyze the role of contrast-enhanced computed tomography in evaluation of pancreatic stump volume for prediction of significant pancreatic fistula. Material and methods. A retrospective analysis enrolled 99 patients. Patients were divided into 2 groups depending on the course of postoperative period and development of clinically significant pancreatic fistula. The first group included 24 patients (25%) with clinically significant postoperative pancreatic fistula. The second group included 75 patients (75%) without postoperative complications. Pancreatic structure, pancreatic parenchyma thickness (mm), pancreatic duct diameter (mm) and volume of pancreatic stump (cm3) were preoperatively analyzed considering contrast-enhanced computed tomography data. Results. The risk of postoperative pancreatic fistula is 10 times higher in case of soft structure of the pancreas, 1,7 times higher in decrease of pancreatic duct diameter, 9,3 times higher in increased volume of residual pancreatic parenchyma, 8.6 times higher in increase of pancreatic parenchyma thickness. Conclusion. Contrast-enhanced computed tomography is valuable for preoperative evaluation of the volume of residual pancreatic parenchyma and identification of patients with high risk of postoperative pancreatic fistula.

Keywords:

contrast-enhanced computed tomography
pancreatic stump volume
pancreatic fistula
complications
pancreas thickness

Authors:

Galchina Yu.S.

Vishnevsky Institute of Surgery, Moscow, Russia

Karmazanovskiĭ G.G.

FGBU "Institut khirurgii im. A.V. Vishnevskogo" Minzdrava Rossii, Moskva

Kondratyev E.V.

Vishnevsky National Medical Research Center for Surgery of the Ministry of Health of Russia, Moscow, Russia

Gorin D.S.

Institut khirurgii im. A.V. Vishnevskogo, Moskva

Galkin G.V.

Vishnevsky National Medical Research Center of Surgery of Healthcare Ministry of Russia, Moscow, Russia

Kriger A.G.

Institut khirurgii im. A.V. Vishnevskogo, Moskva

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