RETROSPECTIVE AND PROSPECTIVE STUDY OF SURGERIES OF THE HEPATO - PANCREATICO- BILIARY SYSTEM AND THEIR COMPLICATIONS

DEVBRATA ADHIKARI; TILAKDAS SHETTY; RAJEEV JOSHI

Volume : IX, Issue : III, March - 2019

RETROSPECTIVE AND PROSPECTIVE STUDY OF SURGERIES OF THE HEPATO - PANCREATICO- BILIARY SYSTEM AND THEIR COMPLICATIONS

Devbrata Adhikari, Tilakdas Shetty, Rajeev Joshi

Abstract :

HPB surgery since its inception in the yesteryears has been associated with a high rate complications leading to increased morbidity and mortality. In view of the risk of complications of HPB surgery it was thought to review 309 cases over a 7 year single unit data and study the procedure related morbidity and mortality following various surgical procedure. Benign CBD pathologies had 17.39% morbidity as compared to 46% morbidity in pancreatico biliary resections for cancer. The mortality was also higher in the malignant group of 7.76% as compared with 2.7% as compared with benign pancreatic pathologies. Pancreatic fistula was the most common complication in the malignant group. Gain in experience and higher patient volume, coupled with a meticulous pre–operative work–up, sound surgical technique and dedicated post–operative management indicate that major pancreatico– biliary resections can be safely performed