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. 2013 Jan 29;15(11):882–892. doi: 10.1111/hpb.12054

Table 2.

Morbidity, mortality and survival after an elective a total pancreatectomy (TP) – main published series

Author Period of time Aetiologies Mortality rate (%) Morbidity rate (%) Diabetes Survival rates
Total Ductal carcinoma Invasive IPMN Non-invasive IPMN Chronic Pancreatitis Endocrine tumor Renal cancer metastases Other malignant Other benign
Casadei et al.35 2006–2009 20 7 7 1 1 2 2 5% 25%, of which: -hemorrhage=3 -biliary leakage=1 - No death related to diabetes - 23% readmissions for glycemic control - Ductal carcinoma: 3-y: 25% - Others: 3-y: 90%; 5-y: 70%
Muller et al.13 2001–2006 124 67 10 8 11 10 8 6 4 4.8% 24% surgical 14.5% medical - No death related to diabetes - 8.3% readmissions for diabetes control - Malignant disease: 3-y: 37%a - Benign disease: 3-y: 88%a
Billings et al.15 1985–2002 99 33 17 9 20 20 5% 32% 3 deaths owing to hypoglycemia - Malignant disease: 5-y: 34%b - Benign disease: 5y: 84%b
Schmidt et al.21 1992–2006 33 33 (all R0) 6.1% 48% 3-y: 34% 5-y: 14%
Crippa et al.8 1996–2008 65 19 18 13 1 6 6 1 1 0 38.5%, of which: -hemorrhage =3 -biliary leakage=1 No death owing to hypoglycemia - All patients: 5-y: 71% - Ductal carcinoma: 3-y: 38%; 5-y: 0% - Invasive IPMN: 3-y: 56%; 5-y: 45%
Reddy et al.22 1970–2007 100 100 8% ≈68% 3-y: 27% 5-y: 19%
Stauffer et al.26 2002–2008 47 10 10 21 2 1 1 1 1 2% 37% 23/46 living patients were readmitted after discharge 3-y survival: - All patients: 65% - Ductal carcinoma: 34%: - Invasive IPMN: 49% - Non-invasive IPMN: 95%
Present study 1993–2010 56 4 28 11 1 6 2 1 3 3.6% 45% −1 death owing to hypoglycemia −1 death owing to ketoacidosis - All patients: 3-y = 62%, 5-y = 55% - Invasive IPMN: 3-y = 40%, 5-y = 22% - Non-invasive IPMN: 3- and 5-y = 90%
a

Including other patients with salvage TP.

b

Except patients who died in the postoperative period.