TY - JOUR
T1 - Effect of pre-firing compression on the prevention of pancreatic fistula in distal pancreatectomy
AU - Hirashita, Teijiro
AU - Ohta, Masayuki
AU - Yada, Kazuhiro
AU - Tada, Kazuhiro
AU - Saga, Kunihiro
AU - Takayama, Hiroomi
AU - Endo, Yuichi
AU - Uchida, Hiroki
AU - Iwashita, Yukio
AU - Inomata, Masafumi
PY - 2018/9/1
Y1 - 2018/9/1
N2 - Background: Postoperative pancreatic fistula (POPF) is a major complication of distal pancreatectomy (DP). Several procedures for resection and closure of the pancreas have been proposed; however, the rate of POPF remains high. The aims of this study were to investigate the relationship between perioperative factors and POPF and to clarify the advantages of pre-firing compression of the pancreas in the DP. Patients and method: From 2008 to 2016, records of 75 patients who underwent DP were retrospectively reviewed. The relationship between the perioperative factors and clinically relevant POPF was investigated. Results: Univariate analysis showed that body mass index, thickness of the pancreas, and pre-firing compression were significantly related with clinically relevant POPF. Multivariate analysis showed that the pre-firing compression was an independent factor of clinically relevant POPF (OR = 44.31, 95%CI = 3.394–578.3, P = 0.004). Conclusions: Pre-firing compression of the pancreas can prevent clinically relevant POPF in DP.
AB - Background: Postoperative pancreatic fistula (POPF) is a major complication of distal pancreatectomy (DP). Several procedures for resection and closure of the pancreas have been proposed; however, the rate of POPF remains high. The aims of this study were to investigate the relationship between perioperative factors and POPF and to clarify the advantages of pre-firing compression of the pancreas in the DP. Patients and method: From 2008 to 2016, records of 75 patients who underwent DP were retrospectively reviewed. The relationship between the perioperative factors and clinically relevant POPF was investigated. Results: Univariate analysis showed that body mass index, thickness of the pancreas, and pre-firing compression were significantly related with clinically relevant POPF. Multivariate analysis showed that the pre-firing compression was an independent factor of clinically relevant POPF (OR = 44.31, 95%CI = 3.394–578.3, P = 0.004). Conclusions: Pre-firing compression of the pancreas can prevent clinically relevant POPF in DP.
UR - http://www.scopus.com/inward/record.url?scp=85044527462&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85044527462&partnerID=8YFLogxK
U2 - 10.1016/j.amjsurg.2018.03.023
DO - 10.1016/j.amjsurg.2018.03.023
M3 - Article
C2 - 29606277
AN - SCOPUS:85044527462
SN - 0002-9610
VL - 216
SP - 506
EP - 510
JO - American Journal of Surgery
JF - American Journal of Surgery
IS - 3
ER -