Chyle leak following root of mesentery dissection in pancreaticoduodenectomy with inferior infracolic superior mesenteric artery first approach

Table 1 Baseline characteristics with intraoperative findings

Patient characteristics	Ventral (n = 4)	Uncinate (n = 6)
Age (year), mean ± SD	68.1 ± 8.2	67.6 ± 9.2
Gender
Male	2	2
Female	2	4
BMI (kg/m2), mean ± SD	24.2 ± 2.4	25.4 ± 2.1
ASA score
1-2	1	3
3-4	3	3
Neoadjuvant therapy	0	3
Preoperative resectability
Resectable	3	1
Borderline resectable	1	5
Vascular resection and reconstruction
No	3	1
Venous resection ISGPS type 1	1	3
Venous resection ISGPS type 2	0	0
Venous resection ISGPS type 3	0	2
Venous resection ISGPS type 4	0	0
Both arterial and venous resection	1	5
1st Jejunal branch sacrifice	0	5
Gastrocolic trunk of Henle involvement
Yes	3	1
No	1	5
Margin positive	1	1

ISGPS: International Study Group of Pancreatic Surgery; ASA: American Society of Anesthesiologists; BMI: Body mass index.

Table 2 Postoperative and pathological outcomes

Postoperative and pathological outcomes		Ventral (n = 4)	Uncinate (n = 6)
Number of lymph nodes harvested		12	14
Clavien-Dindo (consequence of chyle leak)
2		1	1
3		0	2
4		0	0
5		0	0
Chyle leak		1	3
Grade A		0	1
Grade B		1	2
Grade C		0	0
Re-exploration		0	1 (reactionary hemorrhage)
Hospital stays	Total
1-10 days	4	2	2
10-20 days	4	1	3 [2 + (1 was reexplored for reactionary hemorrhage)]
> 20 days	2	1	1