Risk factors of postoperative pancreatic fistula after distal pancreatectomy using a triple-row stapler

Risk factors of postoperative pancreatic fistula after distal pancreatectomy using a triple-row... Introduction Purpose Postoperative pancreatic fistula (POPF) is one of the major complications in patients who undergo dis- Although perioperative management and operative tech- tal pancreatectomy (DP). Recently, dividing the pancreas niques in pancreatic surgery have improved, post-operative by stapler is a commonly performed technique, however, pancreatic fistula (POPF) remains the most common compli - POPF still occurs. Therefore, the purpose of this study was cation after distal pancreatectomy (DP), occurring in from 5 to investigate the risk factors for POPF after DP using a to 32% of all cases [1–6] based on the International Study triple-row stapler. Group of Pancreatic Fistula (ISGPF) criteria [7]. POPF can Methods A total of 75 patients underwent DP using a tri- be triggered by serious incidents such as intra-abdominal ple-row stapler (Endo GIA™ Reloads with Tri-Staple™ abscess and intra-abdominal arterial bleeding and it can be Technology 60 mm; COVIDIEN, North Haven, CT, USA) fatal. To prevent POPF, several techniques including hand- at Yamanashi University from December 2012 to Decem- sewn closure [8–10], stapled closure [2, 3, 8, 11, 12], main ber 2016. The clinical risk factors for POPF after DP using pancreatic duct ligation [8, 10], bipolar scissors [13], the a triple-row stapler http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Surgery Today Springer Journals

Risk factors of postoperative pancreatic fistula after distal pancreatectomy using a triple-row stapler

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Publisher
Springer Japan
Copyright
Copyright © 2017 by The Author(s)
Subject
Medicine & Public Health; Surgery; Surgical Oncology
ISSN
0941-1291
eISSN
1436-2813
D.O.I.
10.1007/s00595-017-1554-2
Publisher site
See Article on Publisher Site

Abstract

Introduction Purpose Postoperative pancreatic fistula (POPF) is one of the major complications in patients who undergo dis- Although perioperative management and operative tech- tal pancreatectomy (DP). Recently, dividing the pancreas niques in pancreatic surgery have improved, post-operative by stapler is a commonly performed technique, however, pancreatic fistula (POPF) remains the most common compli - POPF still occurs. Therefore, the purpose of this study was cation after distal pancreatectomy (DP), occurring in from 5 to investigate the risk factors for POPF after DP using a to 32% of all cases [1–6] based on the International Study triple-row stapler. Group of Pancreatic Fistula (ISGPF) criteria [7]. POPF can Methods A total of 75 patients underwent DP using a tri- be triggered by serious incidents such as intra-abdominal ple-row stapler (Endo GIA™ Reloads with Tri-Staple™ abscess and intra-abdominal arterial bleeding and it can be Technology 60 mm; COVIDIEN, North Haven, CT, USA) fatal. To prevent POPF, several techniques including hand- at Yamanashi University from December 2012 to Decem- sewn closure [8–10], stapled closure [2, 3, 8, 11, 12], main ber 2016. The clinical risk factors for POPF after DP using pancreatic duct ligation [8, 10], bipolar scissors [13], the a triple-row stapler

Journal

Surgery TodaySpringer Journals

Published: Jun 9, 2017

References

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