Pancreas Cancer Clinical Trial
Official title:
Preoperative Systemic Inflammatory Biomarkers and Postoperative Day 1 Drain Amylase Value Predict Grade C Pancreatic Fistula After Pancreaticoduodenectomy: a Retrospective Single Center Experience
Particularly, pancreatic fistula is the most common and serious complication after pancreaticoduodenectomy (PD) and is reported in up to 40% of cases. The aim of this retrospective single-center study was to investigate the utility of the combination of preoperative inflammation biomarkers (PIBs) with postoperative day 1 drains amylase (POD1-d.a.) levels in predicting grade C Pancreatic Fistula (PF).
Data from a prospective collected database of 317 consecutive PDs performed at the University
Campus Bio-Medico di Roma during the years 2005-2019, have been retrospectively analyzed.
Local Ethical Committee approved the study.
Patients undergoing PD for periampullary neoplasms were included in the study. All patients
underwent to PD with pancreaticojejunostomy reconstruction. Two surgical drains were always
placed at the end of the surgery.
Data regarding PIBs, as full blood count including white blood cell (WBC) count, lymphocytes,
neutrophils and platelets counts, neutrophil-to-lymphocyte ratio (NLR), derived
neutrophil-to-lymphocyte ratio (d-NLR), platelet-to-lymphocyte ratio (PLR) and POD1-d.a.
levels were collected and Positive Predictive Values (PPV) and Negative Predictive Values
(NPV) were computed to investigate the probability to develop PF combining PIBs and drains
amylase values.
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