Original article Is Pancreaticoduodenectomy a Safe Procedure in the Cirrhotic Patient? § Juli Busquets,* Nu ´ ria Pela ´ ez, Marta Gil, Lluı ´s Secanella, Emilio Ramos, Laura Llado ´, Joan Fabregat Servei de Cirurgia General i Digestiva, Hospital Universitari de Bellvitge, Barcelona, Spain c i r e s p . 2 0 1 6 ; 9 4 ( 7 ) : 3 8 5 – 3 9 1 article info Article history: Received 4 November 2015 Accepted 18 January 2016 Available online 3 September 2016 Keywords: Pancreatic surgery Hepatic cirrhosis a b s t r a c t Introduction: Pancreaticoduodenectomy (PD) is usually contraindicated in chronic liver disease. The objective of the present study was to analyze PD results in cirrhotic patients, and compare them with non-cirrhotic ones. Methods: Between 1994 and 2014 we prospectively collected all patients with a PD for periampullar neoplasms in Hospital Universitari de Bellvitge. We registered preoperative, intraoperative and postoperative variables. We defined patients undergoing PD with liver cirrhosis as the study group (CH group), and those without liver cirrhosis as the control group (NCH group). A case/control study was performed (1/2). Results: We registered 15 patients in the CH group, all with good liver function (Child A), and included 30 patients in NCH group. The causes of hepatopathy were HCV (60%) and alcoholism (40%). For the 3 moments studied, the CH group had a lower blood platelet count and a higher prothrombin ratio, compared with NCH group. Postoperative morbidity was 60% and mean postoperative stay was 25  19 days, with no differences in terms of complications between CH group and NCG group (73% vs 53%, P=.1). Presence of ascites was higher in the CH group compared with NCH group (28 vs 0%, P<.001). There were no differences in terms of hemorrhage or pancreatic fı´stula. Four patients of the CH group and 2 patients of the NCH group were reoperated on (26.7 vs 6.7%, P=.1). There was no postoperative mortality. Conclusions: PD is a safe procedure in cirrhotic patients with good liver function although it presents high morbidity. # 2016 AEC. Published by Elsevier Espan ˜ a, S.L.U. All rights reserved. § Please cite this article as: Busquets J, Pela ´ez N, Gil M, Secanella L, Ramos E, Llado ´ L, et al. ? Es la duodenopancreatectomı ´a cefa ´ lica una intervencio ´n segura en el paciente cirro ´ tico? Cir Esp. 2016;94:385–391. * Corresponding author. E-mail address: jbusquets@bellvitgehospital.cat (J. Busquets). CIRUGI ´ A ESPAN ˜ OLA www.elsevier.es/cirugia 2173-5077/ # 2016 AEC. Published by Elsevier Espan ˜ a, S.L.U. All rights reserved.