Postoperative Intensive Care Management and Early Postoperative Outcomes Following Pancreaticoduodenectomy

Dicle Birtane; Fatma Özdemir; Evrim Kucur Tülübaş; Zafer Cukurova

doi:10.18678/dtfd.1884230

Postoperative Intensive Care Management and Early Postoperative Outcomes Following Pancreaticoduodenectomy

Abstract

Aim: Postoperative intensive care unit (ICU) care after pancreaticoduodenectomy (PD) is essential for managing perioperative complications. This study evaluated ICU outcomes, mortality, reoperation, and major postoperative complications following PD.

Material and Methods: This retrospective cohort study included patients undergoing PD between January 1, 2015, and August 1, 2025, who required postoperative ICU admission. Postoperative ICU admission was reserved for selected high-risk patients based on perioperative clinical assessment. Descriptive statistical analyses were performed. Demographic characteristics, comorbidities, need for continuous renal replacement therapy (CRRT), length of ICU stay, reoperation rates, major postoperative complications, and mortality were analyzed.

Results: A total of 80 patients fulfilled the inclusion criteria among the 179 who underwent PD. The cohort had a median age of 65 years, with males constituting the majority of the population (53,66.2%). Common comorbidities included hypertension, diabetes mellitus, coronary artery disease, chronic obstructive pulmonary disease, and almost all patients were categorized as ASA physical status III. Preoperative epidural catheterization was performed in 22 patients (27%). Reoperation was required in 3 patients (3.8%), CRRT was required in 3 patients (3.8%), and 8 patients (10%) required ICU readmission, while ICU mortality occurred in 7 patients (8.8%).

Conclusion: Due to its complexity, PD is frequently linked to notable morbidity and mortality rates and typically requires close postoperative monitoring in the ICU. This descriptive analysis provides insight into postoperative ICU outcomes following pancreaticoduodenectomy. Early recognition of clinical deterioration during postoperative ICU monitoring may facilitate timely intervention and potentially improve clinical outcomes.

Keywords

Ethical Statement

Approval for the study was granted by the Clinical Research Local Ethics Committee of Bakırkoy Dr Sadi Konuk Training and Research Hospital (Decision No: 2025–02–02, 07.11.2025), following approval by the Ministry of Health Clinical Research Board. All study procedures adhered to the principles outlined in the Declaration of Helsinki (2013).

Thanks

The authors do not wish to acknowledge any individual or institution. The abstract of this study was presented as an oral presentation at the 23rd National Intensive Care Congress.

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Details

Primary Language

English

Subjects

Intensive Care

Journal Section

Research Article

Authors

Dicle Birtane ^*
0000-0002-9899-0545
Türkiye

Fatma Özdemir
0000-0003-4197-5819
Türkiye

Evrim Kucur Tülübaş
0000-0001-9007-8685
Türkiye

Zafer Cukurova
0000-0002-8893-3977
Türkiye

Publication Date

August 21, 2026

Submission Date

February 7, 2026

Acceptance Date

June 23, 2026

Published in Issue

Year 2026 Volume: 28 Number: 2

DOI

https://doi.org/10.18678/dtfd.1884230

IZ

https://izlik.org/JA34GA95RD

Cite

RIS / Bibtex

APA

Birtane, D., Özdemir, F., Tülübaş, E. K., & Cukurova, Z. (2026). Postoperative Intensive Care Management and Early Postoperative Outcomes Following Pancreaticoduodenectomy. Duzce Medical Journal, 28(2), 135-141. https://doi.org/10.18678/dtfd.1884230

AMA

1.Birtane D, Özdemir F, Tülübaş EK, Cukurova Z. Postoperative Intensive Care Management and Early Postoperative Outcomes Following Pancreaticoduodenectomy. Duzce Med J. 2026;28(2):135-141. doi:10.18678/dtfd.1884230

Chicago

Birtane, Dicle, Fatma Özdemir, Evrim Kucur Tülübaş, and Zafer Cukurova. 2026. “Postoperative Intensive Care Management and Early Postoperative Outcomes Following Pancreaticoduodenectomy”. Duzce Medical Journal 28 (2): 135-41. https://doi.org/10.18678/dtfd.1884230.

EndNote

Birtane D, Özdemir F, Tülübaş EK, Cukurova Z (August 1, 2026) Postoperative Intensive Care Management and Early Postoperative Outcomes Following Pancreaticoduodenectomy. Duzce Medical Journal 28 2 135–141.

IEEE

[1]D. Birtane, F. Özdemir, E. K. Tülübaş, and Z. Cukurova, “Postoperative Intensive Care Management and Early Postoperative Outcomes Following Pancreaticoduodenectomy”, Duzce Med J, vol. 28, no. 2, pp. 135–141, Aug. 2026, doi: 10.18678/dtfd.1884230.

ISNAD

Birtane, Dicle - Özdemir, Fatma - Tülübaş, Evrim Kucur - Cukurova, Zafer. “Postoperative Intensive Care Management and Early Postoperative Outcomes Following Pancreaticoduodenectomy”. Duzce Medical Journal 28/2 (August 1, 2026): 135-141. https://doi.org/10.18678/dtfd.1884230.

JAMA

1.Birtane D, Özdemir F, Tülübaş EK, Cukurova Z. Postoperative Intensive Care Management and Early Postoperative Outcomes Following Pancreaticoduodenectomy. Duzce Med J. 2026;28:135–141.

MLA

Birtane, Dicle, et al. “Postoperative Intensive Care Management and Early Postoperative Outcomes Following Pancreaticoduodenectomy”. Duzce Medical Journal, vol. 28, no. 2, Aug. 2026, pp. 135-41, doi:10.18678/dtfd.1884230.

Vancouver

1.Dicle Birtane, Fatma Özdemir, Evrim Kucur Tülübaş, Zafer Cukurova. Postoperative Intensive Care Management and Early Postoperative Outcomes Following Pancreaticoduodenectomy. Duzce Med J. 2026 Aug. 1;28(2):135-41. doi:10.18678/dtfd.1884230