Surgical loupes at 5.0 × magnification and the VIO soft-coagulation system can prevent postoperative pancreatic fistula in duct-to-mucosa pancreaticojejunostomy

Yo Ichi Yamashita, Yoshihiro Yoshida, Takeshi Kurihara, Eiji Tsujita, kazuki takeishi, Teruyoshi Ishida, Tetsuo Ikeda, Yoshinari Furukawa, Ken Shirabe, Yoshihiko Maehara

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Abstract

Background/Aim: Postoperative pancreatic fistula (POPF) remains a major complication after pancreatico-duodenectomy (PD). In this study, we examined whether our new method using surgical loupes at 5.0× magnification and the VIO soft coagulation system (SC) for duct-to-mucosa pancreaticojejunostomy (PJ) can prevent POPF. Patients and Methods: A retrospective cohort study was performed in 81 consecutive patients who underwent PD and duct-to-mucosa PJ for periampullary tumors by a single surgeon during a recent 5-year period from 2008 to 2012. These patients were divided into two groups according to the nature of the PJ; the conventional group (n=46) and the 5.0× loupes+SC group (n=35). Short-term surgical results including POPF were compared and an independent risk factor for POPF was identified using the stepwise logistic regression analysis in our series. Results: The rate of Grade B/C POPF was significantly decreased in the 5.0× loupes+SC group (2.9%) compared to that of the conventional group (9.9%, p=0.04). The absence of 5.0× loupes+SC for PJ was identified as the independent risk factor for Grade B/C POPF (odds ratio, 5.23; p-value, 0.03). Conclusion: 5.0× surgical loupes+SC for duct-to-mucosa PJ could be used as a novel technique for preventing POPF after PD.

Original languageEnglish
Pages (from-to)1691-1696
Number of pages6
JournalAnticancer research
Volume35
Issue number3
Publication statusPublished - Mar 1 2015

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Pancreaticojejunostomy
Pancreatic Fistula
Mucous Membrane
Cohort Studies
Retrospective Studies
Logistic Models
Odds Ratio
Regression Analysis

All Science Journal Classification (ASJC) codes

  • Oncology
  • Cancer Research

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Surgical loupes at 5.0 × magnification and the VIO soft-coagulation system can prevent postoperative pancreatic fistula in duct-to-mucosa pancreaticojejunostomy. / Yamashita, Yo Ichi; Yoshida, Yoshihiro; Kurihara, Takeshi; Tsujita, Eiji; takeishi, kazuki; Ishida, Teruyoshi; Ikeda, Tetsuo; Furukawa, Yoshinari; Shirabe, Ken; Maehara, Yoshihiko.

In: Anticancer research, Vol. 35, No. 3, 01.03.2015, p. 1691-1696.

Research output: Contribution to journalArticle

Yamashita, YI, Yoshida, Y, Kurihara, T, Tsujita, E, takeishi, K, Ishida, T, Ikeda, T, Furukawa, Y, Shirabe, K & Maehara, Y 2015, 'Surgical loupes at 5.0 × magnification and the VIO soft-coagulation system can prevent postoperative pancreatic fistula in duct-to-mucosa pancreaticojejunostomy', Anticancer research, vol. 35, no. 3, pp. 1691-1696.
Yamashita, Yo Ichi ; Yoshida, Yoshihiro ; Kurihara, Takeshi ; Tsujita, Eiji ; takeishi, kazuki ; Ishida, Teruyoshi ; Ikeda, Tetsuo ; Furukawa, Yoshinari ; Shirabe, Ken ; Maehara, Yoshihiko. / Surgical loupes at 5.0 × magnification and the VIO soft-coagulation system can prevent postoperative pancreatic fistula in duct-to-mucosa pancreaticojejunostomy. In: Anticancer research. 2015 ; Vol. 35, No. 3. pp. 1691-1696.
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abstract = "Background/Aim: Postoperative pancreatic fistula (POPF) remains a major complication after pancreatico-duodenectomy (PD). In this study, we examined whether our new method using surgical loupes at 5.0× magnification and the VIO soft coagulation system (SC) for duct-to-mucosa pancreaticojejunostomy (PJ) can prevent POPF. Patients and Methods: A retrospective cohort study was performed in 81 consecutive patients who underwent PD and duct-to-mucosa PJ for periampullary tumors by a single surgeon during a recent 5-year period from 2008 to 2012. These patients were divided into two groups according to the nature of the PJ; the conventional group (n=46) and the 5.0× loupes+SC group (n=35). Short-term surgical results including POPF were compared and an independent risk factor for POPF was identified using the stepwise logistic regression analysis in our series. Results: The rate of Grade B/C POPF was significantly decreased in the 5.0× loupes+SC group (2.9{\%}) compared to that of the conventional group (9.9{\%}, p=0.04). The absence of 5.0× loupes+SC for PJ was identified as the independent risk factor for Grade B/C POPF (odds ratio, 5.23; p-value, 0.03). Conclusion: 5.0× surgical loupes+SC for duct-to-mucosa PJ could be used as a novel technique for preventing POPF after PD.",
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AU - Yamashita, Yo Ichi

AU - Yoshida, Yoshihiro

AU - Kurihara, Takeshi

AU - Tsujita, Eiji

AU - takeishi, kazuki

AU - Ishida, Teruyoshi

AU - Ikeda, Tetsuo

AU - Furukawa, Yoshinari

AU - Shirabe, Ken

AU - Maehara, Yoshihiko

PY - 2015/3/1

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N2 - Background/Aim: Postoperative pancreatic fistula (POPF) remains a major complication after pancreatico-duodenectomy (PD). In this study, we examined whether our new method using surgical loupes at 5.0× magnification and the VIO soft coagulation system (SC) for duct-to-mucosa pancreaticojejunostomy (PJ) can prevent POPF. Patients and Methods: A retrospective cohort study was performed in 81 consecutive patients who underwent PD and duct-to-mucosa PJ for periampullary tumors by a single surgeon during a recent 5-year period from 2008 to 2012. These patients were divided into two groups according to the nature of the PJ; the conventional group (n=46) and the 5.0× loupes+SC group (n=35). Short-term surgical results including POPF were compared and an independent risk factor for POPF was identified using the stepwise logistic regression analysis in our series. Results: The rate of Grade B/C POPF was significantly decreased in the 5.0× loupes+SC group (2.9%) compared to that of the conventional group (9.9%, p=0.04). The absence of 5.0× loupes+SC for PJ was identified as the independent risk factor for Grade B/C POPF (odds ratio, 5.23; p-value, 0.03). Conclusion: 5.0× surgical loupes+SC for duct-to-mucosa PJ could be used as a novel technique for preventing POPF after PD.

AB - Background/Aim: Postoperative pancreatic fistula (POPF) remains a major complication after pancreatico-duodenectomy (PD). In this study, we examined whether our new method using surgical loupes at 5.0× magnification and the VIO soft coagulation system (SC) for duct-to-mucosa pancreaticojejunostomy (PJ) can prevent POPF. Patients and Methods: A retrospective cohort study was performed in 81 consecutive patients who underwent PD and duct-to-mucosa PJ for periampullary tumors by a single surgeon during a recent 5-year period from 2008 to 2012. These patients were divided into two groups according to the nature of the PJ; the conventional group (n=46) and the 5.0× loupes+SC group (n=35). Short-term surgical results including POPF were compared and an independent risk factor for POPF was identified using the stepwise logistic regression analysis in our series. Results: The rate of Grade B/C POPF was significantly decreased in the 5.0× loupes+SC group (2.9%) compared to that of the conventional group (9.9%, p=0.04). The absence of 5.0× loupes+SC for PJ was identified as the independent risk factor for Grade B/C POPF (odds ratio, 5.23; p-value, 0.03). Conclusion: 5.0× surgical loupes+SC for duct-to-mucosa PJ could be used as a novel technique for preventing POPF after PD.

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