The Possum Scoring System and Complete Blood Count in the Prediction of Complications After Pancreato-Duodenal Area Resections
Journal Title: Polish Journal of Surgery - Year 2011, Vol 83, Issue 1
Abstract
The introduction of markers which help in the identification of patients prone to suffer from postoperative complications enables to recognize them more easily and thus, treat them more effectively. <br/><b>The aim of the study</b> was to evaluate complete blood count indicators, as well as preoperative results obtained on the basis of the POSSUM and P-POSSUM scoring systems, considering the prediction of complications after surgical resections in the pancreato-duodenal area. <br/><b>Material and methods.</b> A prospective 30-day non-interventional clinical study was conducted on a group of 65 patients who underwent scheduled surgery, due to pancreatic head cancer or chronic pancreatitis. Total pancreatoduodenectomy was performed in 24.1% of patients, while the remaining were subject to hemi-pancreatoduodenectomy. The authors evaluated the preoperative complete blood count parameters, as well as the risk of complications and mortality using the audit POSSUM and P-POSSUM scoring systems. <br/><b>Results.</b> Postoperative complications were observed in 32.4% of patients. The white blood cell count and platelet count in the preoperative period were statistically lower in the group of patients with postoperative complications, in comparison to patients without diagnosed complications. Higher severity scores obtained by means of the P-POSSUM scoring system, as well as higher mortality during the perioperative period can be ascribed to patients who suffered postoperative complications. However, no correlation was found between the occurrence of complications and gender, age, type of resection, preoperative hemoglobin level, absolute lymphocyte count, or numerical value representing the patient’s general condition (POSSUM) and predicted postoperative morbidity. <br/><b>Conclusions.</b> The absolute white blood cell count and total platelet count during the preoperative period may be considered as an indicator of the higher risk of complications during pancreato-duodenal area resections. The usefulness of the POSSUM and P-POSSUM scoring systems is limited. However, the surgical severity index and calculated mortality coefficient risk can facilitate the identification of patients threatened with postoperative complications.
Authors and Affiliations
Iwona Dębińska, Katarzyna Smolińska, Jakub Osiniak, Piotr Paluszkiewicz
Keywords
Related Articles
- EP ID EP74317
- DOI 10.2478/v10035-011-0002-z
- Views 97
- Downloads 0
Jakość życia kobiet w Polsce z rakiem piersi leczonych mastektomią i rekonstrukcją piersi jest taka sama jak po leczeniu oszczędzającym pierś
Chirurgiczne nowoczesne leczenie raka piersi oferuje pacjentkom różne możliwości. Jakość życia po leczeniu chirurgicznym może być czynnikiem decydującym o wyborze rodzaju leczenia: leczenia oszczę- dzającego pierś lub ma...
Surgical Correction of a Webbed-Neck Deformity in Turner’S Syndrome
Turner’s syndrome occurs in approximately 1 out of every 2,000 to 2,500 live-born girls. This genetically determined pathology is characterised by multiple congenital anomalies. A typical form of this syndrome is associa...
Degloving lower leg injury – the importance of additional treatment: negative pressure and hyperbaric oxygen therapy
Degloving injury poses a severe therapeutic challenge concerning both trauma and plastic surgery. The injury involves separation of skin and subcutaneous tissue from fascia and muscles. Treatment is often long-lasting an...
Lack of Association Between the 135G/C Rad51 Gene Polymorphism and the Risk of Colorectal Cancer Among Polish Population
Laparoscopically Assisted Ileo-Colonic Resection in Patients with Crohn’s Disease – Preliminary Report
Despite increasing number of reports indicating good treatment outcomes, laparoscopic treatment of Crohn’s disease remains controversial. The aim of the study was to compare outcomes of laparoscopically assisted and open...