Open AccessValidations of new cut-offs for surgical drains management and use of computerized tomography scan after pancreatoduodenectomy: The DALCUT trial
Author(s) -
Damiano Caputo,
Alessandro Coppola,
Vincenzo La Vaccara,
Roberto Passa,
L. Carbone,
Massimo Ciccozzi,
Silvia Angeletti,
Roberto Coppola
Publication year - 2022
Publication title -
world journal of clinical cases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.368
H-Index - 10
ISSN - 2307-8960
DOI - 10.12998/wjcc.v10.i15.4836
Subject(s) - medicine , pancreatic fistula , abdominal surgery , radiology , prospective cohort study , computed tomography , complication , surgery , pancreas
Postoperative pancreatic fistula (POPF) is the most fearful complication after pancreatic surgery and can lead to severe postoperative complications such as surgical site infections, sepsis and bleeding. A previous study which identified cut-offs of drains amylase levels (DALs) determined on postoperative day (POD) 1 and POD3, was able to significantly predict POPF, abdominal collections and biliary fistulas, when related to specific findings detected at the abdominal computerized tomography (CT) scan routinely performed on POD3.