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Table 2 Perioperative standards in the 23 European centres for pancreatic surgery

From: Perioperative management in distal pancreatectomy: results of a survey in 23 European participating centres of the DISPACT trial and a review of literature

  n % consensus level median duration (IQR)
Bowel preparation     
   none 15 65 overall agreement -
   enema 7 30   -
   orthograde lavage 1 4   -
Type of incision     
   Midline+ 5 22   -
   Transverse+ 18 78 consensus -
   Other 2 4   -
Intraoperative single-shot antibiotic prophylaxis     
   No 1 4   -
   Yes 22 96 strong consensus -
Intra-abdominal drainages     
   No 0 0   
   Yes 23 100 strong consensus 4 (3–5)
Postoperative care     
   IMC** 9 39   2 (1–2.25)
   ICU** 11 48   1 (1-1)
   Nursery ward 5 22   -
   Not specified 1 4   -
Pain management (thoracic epidural catheter)     
   No 3 13   -
   Yes* 20 87 consensus 4 (3–5)
Post-operative gastric tube     
   No 13 57 overall agreement -
   Yes 10 43   1 (1–2)
Intravenous feeding     
   No 12 52 overall agreement -
   Yes 11 48   2 (1.5–2)
Somatostatin therapy     
   No 15 65 overall agreement -
   Yes 8 35   6 (3.75–7)
  1. + One centre reported using both midline and transversal incisions frequently.
  2. *Local anaesthetics and opioids were used at 75% of the centres (n = 15), 15% (n = 3) used local anaesthetics without opioids, and 10% (n = 2) did not specify administered drugs.
  3. ** Patients were transferred from the ICU to the IMC at three centres. While there is no consensus whether patients should be transferred to the ICU or IMC, there is an overall agreement in 74% of centres (n = 17) that patients should not be returned to nursery wards immediately after distal pancreatectomy.