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

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

	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)

⁺ One centre reported using both midline and transversal incisions frequently.
*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.
** 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.

ISSN: 1745-6215