Reinforced staplers for distal pancreatectomy

Reinforced staplers for distal pancreatectomy Purpose The safety and efficacy of reinforced staplers during 16 of the patients were excluded based on discontinuation of distal pancreatectomy (DP) remain controversial because of protocol treatment criteria. Clinically relevant pancreatic fis- the small sample size. This multicenter single-arm prospective tula occurred in 13 (12.4%) of 105 patients. The overall mor- study aims to evaluate the safety and efficacy of reinforced bidity rate was 29.5% (31 of 105 patients) and severe compli- staplers with bioabsorbable material during DP. cation (Clavien classification IIIa or more) was 10.5% (11/ Methods Between October 2014 and August 2015, 121 pa- 105). Mortality rate was 0%, although reoperations were per- tients scheduled for DP were enrolled in this study at 11 insti- formed on two patients (1.9%). Multivariate logistic regres- tutions in Japan. The primary endpoint was the incidence of sion analysis of independent risk factors for clinically relevant clinically relevant pancreatic fistula. Protocol treatment was pancreatic fistula after DP using reinforced stapler closure was defined as Bdistal pancreatectomy using reinforced staplers.^ operative time more than 240 min (P= 0.047, odds ratio 5.79), registration numbers less than 10 (P= 0.046, odds ratio 13.01), and staple line hemorrhage (P= 0.003, odds ratio * Hiroki http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Langenbeck's Archives of Surgery Springer Journals
Loading next page...
 
/lp/springer_journal/reinforced-staplers-for-distal-pancreatectomy-C727ECSkqy
Publisher
Springer Berlin Heidelberg
Copyright
Copyright © 2017 by Springer-Verlag GmbH Germany
Subject
Medicine & Public Health; General Surgery; Abdominal Surgery; Cardiac Surgery; Thoracic Surgery; Traumatic Surgery; Vascular Surgery
ISSN
1435-2443
eISSN
1435-2451
D.O.I.
10.1007/s00423-017-1634-1
Publisher site
See Article on Publisher Site

Abstract

Purpose The safety and efficacy of reinforced staplers during 16 of the patients were excluded based on discontinuation of distal pancreatectomy (DP) remain controversial because of protocol treatment criteria. Clinically relevant pancreatic fis- the small sample size. This multicenter single-arm prospective tula occurred in 13 (12.4%) of 105 patients. The overall mor- study aims to evaluate the safety and efficacy of reinforced bidity rate was 29.5% (31 of 105 patients) and severe compli- staplers with bioabsorbable material during DP. cation (Clavien classification IIIa or more) was 10.5% (11/ Methods Between October 2014 and August 2015, 121 pa- 105). Mortality rate was 0%, although reoperations were per- tients scheduled for DP were enrolled in this study at 11 insti- formed on two patients (1.9%). Multivariate logistic regres- tutions in Japan. The primary endpoint was the incidence of sion analysis of independent risk factors for clinically relevant clinically relevant pancreatic fistula. Protocol treatment was pancreatic fistula after DP using reinforced stapler closure was defined as Bdistal pancreatectomy using reinforced staplers.^ operative time more than 240 min (P= 0.047, odds ratio 5.79), registration numbers less than 10 (P= 0.046, odds ratio 13.01), and staple line hemorrhage (P= 0.003, odds ratio * Hiroki

Journal

Langenbeck's Archives of SurgerySpringer Journals

Published: Nov 4, 2017

References

You’re reading a free preview. Subscribe to read the entire article.


DeepDyve is your
personal research library

It’s your single place to instantly
discover and read the research
that matters to you.

Enjoy affordable access to
over 12 million articles from more than
10,000 peer-reviewed journals.

All for just $49/month

Explore the DeepDyve Library

Unlimited reading

Read as many articles as you need. Full articles with original layout, charts and figures. Read online, from anywhere.

Stay up to date

Keep up with your field with Personalized Recommendations and Follow Journals to get automatic updates.

Organize your research

It’s easy to organize your research with our built-in tools.

Your journals are on DeepDyve

Read from thousands of the leading scholarly journals from SpringerNature, Elsevier, Wiley-Blackwell, Oxford University Press and more.

All the latest content is available, no embargo periods.

See the journals in your area

Monthly Plan

  • Read unlimited articles
  • Personalized recommendations
  • No expiration
  • Print 20 pages per month
  • 20% off on PDF purchases
  • Organize your research
  • Get updates on your journals and topic searches

$49/month

Start Free Trial

14-day Free Trial

Best Deal — 39% off

Annual Plan

  • All the features of the Professional Plan, but for 39% off!
  • Billed annually
  • No expiration
  • For the normal price of 10 articles elsewhere, you get one full year of unlimited access to articles.

$588

$360/year

billed annually
Start Free Trial

14-day Free Trial