Keywords:
Pancreas, Oncology, CT, Surgery, Fistula
Authors:
R. Valletta1, G. A. Zamboni1, M. C. Ambrosetti1, G. Marchegiani1, M. Bonatti2, G. Mansueto1; 1Verona/IT, 2Bolzano/IT
DOI:
10.26044/ecr2019/C-2050
Aims and objectives
Pancreatico-duodenectomy is the main surgical option in patients with resectable pancreatic adenocarcinoma but several post-surgical complications may onset,
postoperative pancreatic fistula (POPF) being the most common and responsible of 11-37% of cases [1-5].
The severity of POPF is judged according to the ISGPF classification scheme which divides them in types A,
B and C,
the latter two representing clinically relevant postoperative pancreatic fistulas (CR-POPF) [6-8].
A major risk factor in developing a CR-POPF in adenocarcinoma patients is the presence of a soft pancreatic texture as well as a pancreatic duct diameter ≤ 3 mm and intraoperative blood loss > 1000 ml [9-11].
Evaluation of the pancreatic texture is usually performed intraoperatively and subjectively by surgeons and this can be sometimes difficult.
Therefore,
the purpose of this study was to investigate wheter CT texture analysis performed on preoperative MDCTs could be able to predict the onset of a CR-POPF after pancreatico-duodenectomy in patients with pancreatic adenocarcinoma.