Abordagem intensiva e as principais complicações no pós-operatório de duodenopancreatectomia para ressecção de Tumor Periampular: uma revisão narrativa

Authors

  • Helder José Moreira Alves Machado
  • Amanda Moreira Alves Machado
  • Daniel De Castro Salgado

DOI:

https://doi.org/10.34117/bjdv9n3-181

Keywords:

pancreatoduodenectomia, cuidados pós-operatórios, complicações pós-operatórias, cuidados críticos

Abstract

Introdução: Os tumores periampulares constituem, sem dúvida, uma das patologias malignas mais desafiadoras da humanidade. Com uma expectativa de vida que dificilmente ultrapassa os cinco anos, a duodenopancreatectomia ganha destaque como único tratamento potencialmente curativo. Objetivo: Realizar uma revisão bibliográfica sobre o cuidado do paciente no pós-operatório de duodenopancreatectomia no ambiente da terapia intensiva, discutindo, as principais condutas e principais complicações que ocorrem após o procedimento. Metodologia: A presente revisão bibliográfica inclui artigos disponíveis nas principais bases de dado, afim de selecionar os mais relevantes artigos sobre o tema. A busca será, preferencialmente, de artigos publicados nos últimos 10 anos nas línguas inglesa e portuguesa. Conclusão: Apesar dos avanços da medicina nas últimas décadas a duodenopancreatectomia ainda é considerada um procedimento de elevada morbimortalidade e, portanto, mais estudos são necessários para que se obtenham melhores resultados.

References

Ferreira FERR, Araujo AG, Nobrega Junior BG, Araujo HG, Lima DL, Lima RNCL. Duodenopancreatectomia: análise histopatológica de tumores periampulares/ Duodenopancreatectomy: histopathologicalanalysisofperiampullarytumors. RevMed (São Paulo). 2020 jul.-ago.;99(4):366-73

Lucena GCM, Barros RA. Drenagem biliar pré-operatória na neoplasia periampular – uma revisão sistemática. ABCD ArqBrasCirDig. 2018;31(2):e1372.

Crist DW, Sitzmann JV, Cameron JL. Improved hospital morbidity, mortality, andsurvivalaftertheWhipple procedure. AnnalsofSurgery. 1987 Sep;206(3):358-365.

Rezende AQM, Dutra JPS, Gestic MA, Utrini MP, Callejas-Neto F, Chaim EA, Cazzo E. Duodenopancreatectomia: impacto da técnica nos resultados operatórios e mortalidade cirúrgica. ABCD ArqBrasCirDig. 2019;32(1):e1412

Xie YB, Wang CF, Zhao DB, Shan Y, Bai XF, Sun YM, Chen YT, Zhao P, Tian YT. Riskfactorsassociatedwithpostoperative hospital stayafterpancreaticoduodenectomy: a retrospectivestudy. Chin Med J (Engl). 2013;126(19):3685-9.

Åkerberg D, Ansari D, Bergenfeldt M, Andersson R, Tingstedt B. Early postoperative fluid retention is a strong predictor for complications after pancreatoduodenectomy. HPB 2019; 21:1784–9.

Fischer M, Matsuo K, Gonen M, Grant F, DeMatteo RP, D’Angelica MI, et al. Relationship Between Intraoperative Fluid Administration and Perioperative Outcome After Pancreaticoduodenectomy: Results of a Prospective Randomized Trial of Acute Normovolemic Hemodilution Compared with Standard Intraoperative Management. Annals of Surgery 2010; 252:952–8.

Kulemann B, Fritz M, Glatz T, Marjanovic G, Sick O, Hopt UT, et al. Complications after pancreaticoduodenectomy are associated with higher amounts of intra- and postoperativefluid therapy: A single center retrospective cohort study. Annals of Medicine and Surgery 2017; 16:23–9.

Adiamah A, Ranat R, Gomez D. Enteral versus parenteral nutrition following pancreaticoduodenectomy: a systematic review and meta-analysis. HPB 2019; 21:793–801.

Gerritsen A, Besselink MGH, Gouma DJ, Steenhagen E, BorelRinkes IHM, Molenaar IQ. Systematic review of five feeding routes after pancreatoduodenectomy. British Journal of Surgery 2013; 100:589–98.

Melloul E, Lassen K, Roulin D, Grass F, Perinel J, Adham M, et al. Guidelines for Perioperative Care for Pancreatoduodenectomy: Enhanced Recovery After Surgery (ERAS) Recommendations 2019. World J Surg. 2020 Jul;44(7):2056-84.

Klotz R, Larmann J, Klose C, Bruckner T, Benner L, Doerr-Harim C, et al. Gastrointestinal Complications After Pancreatoduodenectomy with Epidural vs Patient-Controlled Intravenous Analgesia. JAMA Surg. 2020 Jul 15;155(7): e200794.

Hayashi H, Morikawa T, Yoshida H, Motoi F, Okada T, Nakagawa K, et al. Safety of postoperative thromboprophylaxis after major hepatobiliary–pancreatic surgery in Japanese patients. Surg Today. 2014 Sep;44(9):1660-8.

Horlocker TT, Vandermeuelen E, Kopp SL, Gogarten W, Leffert LR, Benzon HT. Regional Anesthesia in the Patient Receiving Antithrombotic or Thrombolytic Therapy. Regional Anesthesia and Pain Medicine. 2018 Apr;43(3):263-309.

Zhou Y, Lin L, Wu L, Xu D, Li B. A case-matched comparison and meta-analysis comparing pylorus-resecting pancreaticoduodenectomy with pylorus-preserving pancreaticoduodenectomy for the incidence of postoperative delayed gastric emptying. HPB. 2015 Apr;17(4):337-43.

Kim DK, Hindenburg AA, Sharma SK, Suk CH, Gress FG, Staszewski H, et al. Is Pylorospasm a Cause of Delayed Gastric Emptying After Pylorus-Preserving Pancreaticoduodenectomy?.Ann SurgOncol. 2005 Mar;12(3):222-7.

Robinson JR, Marincola P, Shelton J, Merchant NB, Idrees K, Parikh AA. Peri-operative risk factors for delayed gastric emptying after a pancreaticoduodenectomy. HPB. 2015 Jun;17(6):495-501.

Moris D, Lim JJ, Cerullo M, Schmitz R, Shah KN, Blazer DG, et al. Empiricnasogastricdecompressionafterpancreaticoduodenectomyisnotnecessary. HPB 2021;23:1906–13.

Kasumova GG, Eskander MF, Kent TS, Ng SC, Moser AJ, Ahmed M, et al. Hemorrhageafterpancreaticoduodenectomy: does timing matter?. HPB. 2016 Oct;18(10):861-9.

Asai K, Zaydfudim V, Truty M, Reid Lombardo K, Kendrick M, Que F, et al. Management of a delayed post pancreatoduodenectomy haemorrhage using endovascular techniques. HPB. 2015 Oct;17(10):902-8.

Watanabe N, Yokoyama Y, Ebata T, Sugawara G, Igami T, Mizuno T, et al. Clinical influence of preoperative factor XIII activity in patients undergoing pancreatoduodenectomy. HPB. 2017 Nov;19(11):972-7.

Liu JB, Baker MS, Thompson VM, Kilbane EM, Pitt HA. Wound protectors mitigate superficial surgical site infections after pancreatoduodenectomy. HPB. 2019 Jan;21(1):121-31.

Donald GW, Sunjaya D, Lu X, Chen F, Clerkin B, Eibl G, et al. Perioperative antibiotics for surgical site infection in pancreaticoduodenectomy: Does the SCIP-approved regimen provide adequate coverage?. Surgery. 2013 Aug;154(2):190-6.

Søreide K, Healey AJ, Mole DJ, Parks RW. Pre-, peri- and post-operative factors for the development of pancreatic fistula after pancreatic surgery. HPB 2019; 21:1621–31.

Melloul E, Raptis DA, Clavien P, Lesurtel M. Poor level of agreement on the management of postoperative pancreatic fistula: results of an international survey. HPB 2013; 15:307–14.

Koti RS, Gurusamy KS, Fusai G, Davidson BR. Meta-analysis of randomized controlled trials on the effectiveness of somatostatin analogues for pancreatic surgery: a Cochrane review. HPB 2010; 12:155–65.

Gans SL, van Westreenen HL, Kiewiet JJS, Rauws EAJ, Gouma DJ, Boermeester MA. Systematic review and meta-analysis of somatostatin analogues for the treatment of pancreatic fistula. British JournalofSurgery 2012; 99:754–60.

McMillan MT, Christein JD, Callery MP, Behrman SW, Drebin JA, Kent TS, et al. Prophylactic octreotide for pancreatoduodenectomy: more harm than good?. HPB. 2014 Oct;16(10):954-62.

Bressan AK, Wahba M, Dixon E, Ball CG. Completion pancreatectomy in the acute management of pancreatic fistula after pancreaticoduodenectomy: a systematic review and qualitative synthesis of the literature. HPB. 2018 Jan;20(1):20-7.

Andrianello S, Marchegiani G, Malleo G, Pollini T, Bonamini D, Salvia R, et al. Biliary fistula afterpancreaticoduodenectomy: data from 1618 consecutivepancreaticoduodenectomies. HPB. 2017 Mar;19(3):264-9

Gallagher TK, McErlean S, O'Farrell A, Hoti E, Maguire D, Traynor OJ, et al. Incidence and risk factors of delirium in patients post pancreaticoduodenectomy. HPB. 2014 Sep;16(9):864-9.

Published

2023-03-22

How to Cite

Machado, H. J. M. A., Machado, A. M. A., & Salgado, D. D. C. (2023). Abordagem intensiva e as principais complicações no pós-operatório de duodenopancreatectomia para ressecção de Tumor Periampular: uma revisão narrativa. Brazilian Journal of Development, 9(3), 11726–11743. https://doi.org/10.34117/bjdv9n3-181

Issue

Section

Original Papers