Distinguishing between parenchymal and anastomotic leakage at duct-to-mucosa pancreatic reconstruction in pancreaticoduodenectomy

Figure 3 Fluids collected from the peripancreatic drain are analyzed for amylase content and volumes at postoperative day (POD) 4 and 7. A: Amylase levels are not different among the 3 groups at POD 4 (P = 0.062); however, at POD 7, the anastomotic leak group has the significantly highest level, then the parenchymal leak group as compared to the normal group (P = 0.012). B: Volume of peripancreatic drain of the parenchymal leak group was significantly increased above the anastomotic leak and normal group at POD 4 (P = 0.022); on the other hand, there was no difference among the three groups at POD 7 (P = 0.477).