ArticleWorld journal of surgery2015
Long-term outcomes after total pancreatectomy: special reference to survivors' living conditions and quality of life.
Article in World journal of surgery, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 3 of them syntheses that pooled it.
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Who cites it
28 citing papers in PubMed, 3 syntheses or guidelines pooled it, 63 citations in OpenAlex.
- A Systematic Review of Cost-Effectiveness Studies on Pancreatic Cancer Screening.Current oncology (Toronto, Ont.) · 2025Pooled it
- Prophylactic total pancreatectomy in individuals at high risk of pancreatic ductal adenocarcinoma (PROPAN): systematic review and shared decision-making programme using decision tables.United European gastroenterology journal · 2020Pooled it
- Systematic review of functional outcome and quality of life after total pancreatectomy.The British journal of surgery · 2019Pooled it
- Comprehensive comparisons of total pancreatectomy versus pancreaticoduodenectomy for pancreatic ductal adenocarcinoma: a double-center, retrospective study.Gland surgery · 2026Article
- Patient-reported outcomes in adults with type 3c diabetes: a scoping review across aetiologies and pancreatic resection extent.Frontiers in endocrinology · 2026Article
- Nonoperative Management of Technically Resectable Pancreatic Cancer With Ablative Radiation Therapy.JAMA oncology · 2025Article
- Quality of life after pancreatic surgery.World journal of gastroenterology · 2024Review
- Propensity Score Matching Analysis of the Safety of Completion Total Pancreatectomy for Remnant Pancreatic Tumors Versus that of Initial Total Pancreatectomy for Primary Pancreatic Tumors.Annals of surgical oncology · 2023Article
- Diabetes management in patients undergoing total pancreatectomy: A single center cohort study.Frontiers in endocrinology · 2023Article
- Long-term effects of totalAnnals of translational medicine · 2022Article
- [Definition and treatment of superior mesenteric artery revascularization and dissection-associated diarrhea (SMARD syndrome) in Germany].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2022Review
- Changes in the body composition and nutritional status after total pancreatectomy.Langenbeck's archives of surgery · 2021Article
- Contemporary indications for upfront total pancreatectomy.Updates in surgery · 2021Review
- Changes in postoperative long-term nutritional status and quality of life after total pancreatectomy.Annals of surgical treatment and research · 2021Article
- Effects of Total Pancreatectomy on Survival of Patients With Pancreatic Ductal Adenocarcinoma: A Population-Based Study.Frontiers in surgery · 2021Article
- Partial pancreatic tail preserving subtotal pancreatectomy for pancreatic cancer: Improving glycemic control and quality of life without compromising oncological outcomes.World journal of gastrointestinal surgery · 2020Article
- Prognostic indicators in pancreatic cancer patients undergoing total pancreatectomy.Surgery today · 2020Article
- Pylorus-Preserving Total Pancreatectomy for Intraductal Papillary Mucinous Neoplasm in the Setting of Previous Roux-en-Y Cystjejunostomy for Pancreatic Pseudocyst.Journal of pancreatic cancer · 2020Article
- Total pancreatectomy compared with pancreaticoduodenectomy: a systematic review and meta-analysis.Cancer management and research · 2019Review
- Duodenum and ventral pancreas preserving subtotal pancreatectomy for low-grade malignant neoplasms of the pancreas: An alternative procedure to total pancreatectomy for low-grade pancreatic neoplasms.World journal of gastroenterology · 2017Article
Corrections and comments
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Authors and funding
14 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAlthough recent studies have confirmed the safety of total pancreatectomy (TP), appropriate selection of patients for TP has not been well documented. Because patients require lifelong medical treatment and self-management of pancreatic insufficiency after TP, indications for TP should be determined carefully according not only to disease factors but also to the social background of patients. We aimed to clarify long-term outcomes after TP, including the living conditions and quality of life (QoL), of surviving patients.
methodsMedical records of 44 consecutive patients who underwent TP between 1990 and 2013 were reviewed retrospectively; 25 survivors completed cross-sectional clinical surveys and responded to a questionnaire about QoL using Short Form 36v2.
resultsPrevalence of morbidity and mortality after TP was 32 and 5 %, respectively. Postoperative complications occurred more frequently in elderly patients than in young patients (48 vs. 14 %; P = 0.02); however, there was no significant difference in mortality, postoperative hospital stay, or survival. Twenty-four of 25 survivors (96 %) could manage pancreatogenic diabetes by themselves, and the median level of glycosylated hemoglobin was 7.4 %. Although one-third of patients after TP complained of diarrhea and the QoL scores of patients with diarrhea were lower than those of patients without diarrhea, QoL scores after TP were virtually comparable with those of the national population, even in elderly patients.
conclusionsTP can be performed safely, even in elderly patients. QoL after TP seems to be acceptable if patients are capable of self-management.
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