Postpancreatectomy hemorrhage: classification, epidemiology, risk factors
https://doi.org/10.16931/1995-5464.2021-3-135-141
Abstract
The paper analyzes modern literature data regarding post-resection hemorrhagic complications in surgical pancreatology. The modern classification system, epidemiological data and risk factors for postoperative bleeding are analyzed in detail. Critical analysis of the use of postpancreatectomy hemorrhage classification was carried out.
About the Authors
Z. A. Kovalenko
National Mediсal Research Center “Medical and Rehabilitation Center”
Russian Federation
Russian Federation
Zakhar A. Kovalenko – Cand. of Sci. (Med.), Surgeon, Department of Surgical Oncology
3, Ivan'kovskoe shosse, Moscow, 1253677
Phone: +7-926-912-66-16
M. G. Efanov
Loginov Moscow Clinical Scientific Center
Russian Federation
Russian Federation
Mikhail G. Efanov – Doct. of Sci. (Med.), Head of the Hepato-Pancreato-Biliary Surgery Department
8, Shosse Entsiastov, Moscow, 111123
References
1. Bassi C., Marchegiani G., Dervenis C., Sarr M., Abu Hilal M., Adham M., Allen P., Andersson R., Asbun H.J., Besselink M.G., Conlon K., Del Chiaro M., Falconi M., Fernandez-Cruz L., Fernandez-Del Castillo C., Fingerhut A., Friess H., Gouma D.J., Hackert T., Izbicki J., Lillemoe K.D., Neoptolemos J.P., Olah A., Schulick R., Shrikhande S.V., Takada T., Takaori K., Traverso W., Vollmer C.R., Wolfgang C.L., Yeo C.J., Salvia R., Buchler M. The 2016 update of the International Study Group (ISGPS) definition and grading of postoperative pancreatic fistula: 11 years after. Surgery. 2017; 161 (3): 584–591. https://doi.org/10.1016/j.surg.2016.11.014
2. Fingerhut A., Gouma D.J., Izbicki J.R., Neoptolemos J.P., Padbury R.T., Sarr M.G., Yeo C.J., Büchler M.W. Postpancreatectomy hemorrhage (PPH): an International Study Group of Pancreatic Surgery (ISGPS) definition. Surgery. 2007; 142 (1): 20–25. https://doi.org/10.1016/j.surg.2007.02.001
3. Grützmann R., Rückert F., Hippe-Davies N., Distler M., Saeger H.D. Evaluation of the International Study Group of Pancreatic Surgery definition of post-pancreatectomy hemorrhage in a high-volume center. Surgery. 2012; 151 (4): 612–620. https://doi.org/10.1016/j.surg.2011.09.039
4. Dusch N., Lietzmann A., Barthels F., Niedergethmann M., Rückert F., Wilhelm T.J. International Study Group of Pancreatic Surgery definitions for postpancreatectomy complications: applicability at a high-volume center. Scand. J. Surg. 2017; 106 (3): 216–223. https://doi.org/10.1177/1457496916680944
5. van Roessel S., Mackay T.M., van Dieren S., van der Schelling G.P., Nieuwenhuijs V.B., Bosscha K., van der Harst E., van Dam R.M., Liem M.S.L., Festen S., Stommel M.W.J., Roos D., Wit F., Molenaar I.Q., de Meijer V.E., Kazemier G., de Hingh I.H.J.T., van Santvoort H.C., Bonsing B.A., Busch O.R., Groot Koerkamp B., Besselink M.G. Dutch Pancreatic Cancer Group. Textbook outcome: nationwide analysis of a novel quality measure in pancreatic surgery. Ann. Surg. 2020; 271 (1): 155–162. https://doi.org/10.1097/SLA.0000000000003451
6. Welsch T., Eisele H., Zschäbitz S., Hinz U., Büchler M.W., Wente M.N. Critical appraisal of the International Study Group of Pancreatic Surgery (ISGPS) consensus definition of postoperative hemorrhage after pancreatoduodenectomy. Langenbecks Arch. Surg. 2011; 396 (6): 783–791. https://doi.org/10.1007/s00423-011-0811-x
7. Duarte Garcés A.A., Andrianello S., Marchegiani G., Piccolo R., Secchettin E., Paiella S., Malleo G., Salvia R., Bassi C. Reappraisal of post-pancreatectomy hemorrhage (PPH) classifications: do we need to redefine grades A and B? HPB (Oxford). 2018; 20 (8): 702–707. https://doi.org/10.1016/j.hpb.2018.01.013
8. Correa-Gallego C., Brennan M.F., D'Angelica M.I., DeMatteo R.P., Fong Y., Kingham T.P., Jarnagin W.R., Allen P.J. Contemporary experience with postpancreatectomy hemorrhage: results of 1,122 patients resected between 2006 and 2011. J. Am. Coll. Surg. 2012; 215 (5): 616–621. https://doi.org/10.1016/j.jamcollsurg.2012.07.010
9. Izumo W., Higuchi R., Yazawa T., Uemura S., Shiihara M., Yamamoto M. Evaluation of preoperative risk factors for postpancreatectomy hemorrhage. Langenbecks Arch. Surg. 2019; 404 (8): 967–974. https://doi.org/10.1007/s00423-019-01830-w
10. Floortje van Oosten A., Smits F.J., van den Heuvel D.A.F., van Santvoort H.C., Molenaar I.Q. Diagnosis and management of postpancreatectomy hemorrhage: a systematic review and meta-analysis. HPB (Oxford). 2019; 21 (8): 953–961. https://doi.org/10.1016/j.hpb.2019.02.011
11. Kriger A.G., Gorin D.S., Goev A.A., Varava A.B., Berelavichus S.V., Akhtanin E.A. Postpancreatectomy hemorrhage. Annaly khirirgicheskoy gepatologii = Annals of HPB Surgery. 2017; 17 (2): 36–44. https://doi.org/10.16931/1995-5464.2017236-44 (In Russian)
12. Feng F., Cao X., Liu X., Qin J., Xing Z., Duan J., Liu C., Liu J. Two forms of one complication: late erosive and nonerosive postpancreatectomy hemorrhage following laparoscopic pancreaticoduodenectomy. Medicine (Baltimore). 2019; 98 (30): e16394. https://doi.org/10.1097/MD.0000000000016394
13. Asari S., Matsumoto I., Toyama H., Yamaguchi M., Okada T., Shinzeki M., Goto T., Ajiki T., Fukumoto T., Ku Y. Recommendation of treatment strategy for postpancreatectomy hemorrhage: lessons from a single-center experience in 35 patients. Pancreatology. 2016; 16 (3): 454–463. https://doi.org/10.1016/j.pan.2016.02.003
14. Gao F., Li J., Quan S., Li F., Ma D., Yao L., Zhang P. Risk factors and treatment for hemorrhage after pancreaticoduodenectomy: a case series of 423 patients. Biomed. Res. Int. 2016; 2016: 2815693. https://doi.org/10.1155/2016/2815693
15. Han G.J., Kim S., Lee N.K., Kim C.W., Seo H.I., Kim H.S., Kim T.U. Prediction of late postoperative hemorrhage after Whipple procedure using computed tomography performed during early postoperative period. Korean J. Radiol. 2018; 19 (2): 284–291. https://doi.org/10.3348/kjr.2018.19.2.284
16. Uggeri F., Nespoli L., Sandini M., Andreano A., Degrate L., Romano F., Antolini L., Gianotti L. Analysis of risk factors for hemorrhage and related outcome after pancreatoduodenectomy in an intermediate-volume center. Updates Surg. 2019; 71 (4): 659–667. https://doi.org/10.1007/s13304-019-00673-w
17. Wellner U.F., Kulemann B., Lapshyn H., Hoeppner J., Sick O., Makowiec F., Bausch D., Hopt U.T., Keck T. Postpancreatectomy hemorrhage-incidence, treatment, and risk factors in over 1,000 pancreatic resections. J. Gastrointest. Surg. 2014; 18 (3): 464–475. https://doi.org/10.1007/s11605-013-2437-5
18. Kleive D., Sahakyan M., Søreide K., Brudvik K.W., Line P.D., Gladhaug I.P., Labori K.J. Risk for hemorrhage after pancreatoduodenectomy with venous resection. Langenbecks Arch. Surg. 2018; 403 (8): 949–957. https://doi.org/10.1007/s00423-018-1721-y
Review
For citations:
Kovalenko Z.A., Efanov M.G. Postpancreatectomy hemorrhage: classification, epidemiology, risk factors. Annaly khirurgicheskoy gepatologii = Annals of HPB Surgery. 2021;26(3):135-141. (In Russ.) https://doi.org/10.16931/1995-5464.2021-3-135-141
Views:
508
Email this article 