Effect of pre-firing compression on the prevention of pancreatic fistula in distal pancreatectomy

Teijiro Hirashita, Masayuki Ohta, Kazuhiro Yada, Kazuhiro Tada, Kunihiro Saga, Hiroomi Takayama, Yuichi Endo, Hiroki Uchida, Yukio Iwashita, Masafumi Inomata

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

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.

Original languageEnglish
Pages (from-to)506-510
Number of pages5
JournalAmerican Journal of Surgery
Volume216
Issue number3
DOIs
Publication statusPublished - Sep 1 2018

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Pancreatic Fistula
Pancreatectomy
Pancreas
Body Mass Index
Multivariate Analysis

All Science Journal Classification (ASJC) codes

  • Surgery

Cite this

Hirashita, T., Ohta, M., Yada, K., Tada, K., Saga, K., Takayama, H., ... Inomata, M. (2018). Effect of pre-firing compression on the prevention of pancreatic fistula in distal pancreatectomy. American Journal of Surgery, 216(3), 506-510. https://doi.org/10.1016/j.amjsurg.2018.03.023

Effect of pre-firing compression on the prevention of pancreatic fistula in distal pancreatectomy. / Hirashita, Teijiro; Ohta, Masayuki; Yada, Kazuhiro; Tada, Kazuhiro; Saga, Kunihiro; Takayama, Hiroomi; Endo, Yuichi; Uchida, Hiroki; Iwashita, Yukio; Inomata, Masafumi.

In: American Journal of Surgery, Vol. 216, No. 3, 01.09.2018, p. 506-510.

Research output: Contribution to journalArticle

Hirashita, T, Ohta, M, Yada, K, Tada, K, Saga, K, Takayama, H, Endo, Y, Uchida, H, Iwashita, Y & Inomata, M 2018, 'Effect of pre-firing compression on the prevention of pancreatic fistula in distal pancreatectomy', American Journal of Surgery, vol. 216, no. 3, pp. 506-510. https://doi.org/10.1016/j.amjsurg.2018.03.023
Hirashita, Teijiro ; Ohta, Masayuki ; Yada, Kazuhiro ; Tada, Kazuhiro ; Saga, Kunihiro ; Takayama, Hiroomi ; Endo, Yuichi ; Uchida, Hiroki ; Iwashita, Yukio ; Inomata, Masafumi. / Effect of pre-firing compression on the prevention of pancreatic fistula in distal pancreatectomy. In: American Journal of Surgery. 2018 ; Vol. 216, No. 3. pp. 506-510.
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AU - Yada, Kazuhiro

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AU - Saga, Kunihiro

AU - Takayama, Hiroomi

AU - Endo, Yuichi

AU - Uchida, Hiroki

AU - Iwashita, Yukio

AU - Inomata, Masafumi

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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.

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