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Abstracts 4. Gemeinsamer Jahreskongress der ... - SWISS KNIFE

Abstracts 4. Gemeinsamer Jahreskongress der ... - SWISS KNIFE

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swissknife spezial 06 12.06.2006 13:39 Uhr Seite 21<br />

PaLeak as one of A) > 3-fold increased amylase in the drains beyond day six postop., B) need<br />

for interventional drainage for symptomatic fluid collections with high amylase content, or C)<br />

need for re-laparotomy with documented leakage. For further sub-analysis PaLeak requiring<br />

interventional or reoperative therapy was classified as clinically relevant PaLeak (clinPaLeak),<br />

PaLeak without consequence as ‘biochemical’ Leak (bioPaLeak).<br />

Results: The overall incidence of PaLeak was 12.5 %. 6.6 % had bioPaLeak not requiring therapy,<br />

3 % had PaLeak requiring drainage and 2.9% required re-laparotomy (clinPaLeak 5.9<br />

%).Univariate analysis of risk factors revealed that the absence of chronic pancreatitis and an<br />

increased creatinine (both p=0.05) were associated with a higer incidence of overall PaLeak.<br />

In multivariate analysis absence of chronic pancreatitis (p

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