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 . 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 , the a triple-row stapler
Surgery Today – Springer Journals
Published: Jun 9, 2017
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