Rosenberger J
Leber Magen Darm. 1982 Apr;12(2):80-4.
137 patients, who had had surgery of the pancreas, were followed up postoperatively; 72 of these had had resection of pancreas, 65 patients had organ preserving surgery. Diabetes occurred in 44% of the total group. Control of diabetes was adequate only in 19%. 89 patients had an insufficient exocrine pancreatic function; substitution with pancreatic enzyme products was not adequate in 39 patients in this group. 65% took up work again, the working ability being reduced by less than 33%. 14% of the whole group retired immediately after operation from working life, 6% remained jobless for longer periods of time. After surgery of the pancreas patients should be encouraged to active work; granting pensions too generously will increase the relapse rate of alcoholism. In 6 cases of subtotal surgery and in 21 cases of organ preserving surgery operation had to be done for a second time. A classification is proposed for evaluation of postoperative results.
137例接受胰腺手术的患者术后接受随访；其中72例行胰腺切除术，65例行保留器官手术。糖尿病在整个研究组中的发生率为44%。糖尿病控制良好的仅占19%。89例患者存在胰腺外分泌功能不足；该组中有39例患者使用胰酶产品替代治疗效果不佳。65%的患者恢复工作，工作能力下降不到33%。整个研究组中有14%的患者术后立即退休，6%的患者长期失业。胰腺手术后应鼓励患者积极工作；过度慷慨地发放养老金会增加酗酒的复发率。6例次全胰切除术和21例次保留器官手术患者需要再次手术。提出了一种用于评估术后结果的分类方法。
