Prolonged peri-firing compression with a linear stapler prevents pancreatic fistula in laparoscopic distal pancreatectomy

Masafumi Nakamura, Junji Ueda, Hiroshi Kohno, Mohammed Yahia Farrag Aly, Shunichi Takahata, Shuji Shimizu, Masao Tanaka

研究成果: ジャーナルへの寄稿記事

31 引用 (Scopus)

抄録

Background: Laparoscopic distal pancreatectomy (Lap-DP) is one of the most accepted laparoscopic procedures in the field of pancreatic surgery. However, pancreatic fistula remains a major and frequent complication in Lap-DP, as in open surgery. The aim of this retrospective study is to clarify the advantages of prolonged peri-firing compression (PFC) with a linear stapler for prevention of pancreatic fistula after laparoscopic distal pancreatectomy. Patients and methods: Incidence of pancreatic fistula in clinical levels (equivalent to grades B and C defined by the International Study Group of Pancreatic Fistula (ISGPF)) was retrospectively compared between patients who underwent Lap-DP with PFC (PFC group, n = 17) and those who underwent Lap-DP without PFC (no-PFC group, n = 25). Results: Incidence of clinical pancreatic fistula was significantly lower in the PFC group than in the no-PFC group. Consistent with the results for pancreatic fistula, peritoneal drainage period and postoperative hospital stay were shorter in the PFC group than in the no-PFC group. Conclusions: Our data show that PFC effectively prevents pancreatic fistula and shortens postoperative hospital stay after Lap-DP.

元の言語英語
ページ(範囲)867-871
ページ数5
ジャーナルSurgical endoscopy
25
発行部数3
DOI
出版物ステータス出版済み - 1 1 2011

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Pancreatic Fistula
Pancreatectomy
Length of Stay
Incidence
Postoperative Period
Drainage
Retrospective Studies

All Science Journal Classification (ASJC) codes

  • Surgery

これを引用

Prolonged peri-firing compression with a linear stapler prevents pancreatic fistula in laparoscopic distal pancreatectomy. / Nakamura, Masafumi; Ueda, Junji; Kohno, Hiroshi; Aly, Mohammed Yahia Farrag; Takahata, Shunichi; Shimizu, Shuji; Tanaka, Masao.

:: Surgical endoscopy, 巻 25, 番号 3, 01.01.2011, p. 867-871.

研究成果: ジャーナルへの寄稿記事

Nakamura, Masafumi ; Ueda, Junji ; Kohno, Hiroshi ; Aly, Mohammed Yahia Farrag ; Takahata, Shunichi ; Shimizu, Shuji ; Tanaka, Masao. / Prolonged peri-firing compression with a linear stapler prevents pancreatic fistula in laparoscopic distal pancreatectomy. :: Surgical endoscopy. 2011 ; 巻 25, 番号 3. pp. 867-871.
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abstract = "Background: Laparoscopic distal pancreatectomy (Lap-DP) is one of the most accepted laparoscopic procedures in the field of pancreatic surgery. However, pancreatic fistula remains a major and frequent complication in Lap-DP, as in open surgery. The aim of this retrospective study is to clarify the advantages of prolonged peri-firing compression (PFC) with a linear stapler for prevention of pancreatic fistula after laparoscopic distal pancreatectomy. Patients and methods: Incidence of pancreatic fistula in clinical levels (equivalent to grades B and C defined by the International Study Group of Pancreatic Fistula (ISGPF)) was retrospectively compared between patients who underwent Lap-DP with PFC (PFC group, n = 17) and those who underwent Lap-DP without PFC (no-PFC group, n = 25). Results: Incidence of clinical pancreatic fistula was significantly lower in the PFC group than in the no-PFC group. Consistent with the results for pancreatic fistula, peritoneal drainage period and postoperative hospital stay were shorter in the PFC group than in the no-PFC group. Conclusions: Our data show that PFC effectively prevents pancreatic fistula and shortens postoperative hospital stay after Lap-DP.",
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T1 - Prolonged peri-firing compression with a linear stapler prevents pancreatic fistula in laparoscopic distal pancreatectomy

AU - Nakamura, Masafumi

AU - Ueda, Junji

AU - Kohno, Hiroshi

AU - Aly, Mohammed Yahia Farrag

AU - Takahata, Shunichi

AU - Shimizu, Shuji

AU - Tanaka, Masao

PY - 2011/1/1

Y1 - 2011/1/1

N2 - Background: Laparoscopic distal pancreatectomy (Lap-DP) is one of the most accepted laparoscopic procedures in the field of pancreatic surgery. However, pancreatic fistula remains a major and frequent complication in Lap-DP, as in open surgery. The aim of this retrospective study is to clarify the advantages of prolonged peri-firing compression (PFC) with a linear stapler for prevention of pancreatic fistula after laparoscopic distal pancreatectomy. Patients and methods: Incidence of pancreatic fistula in clinical levels (equivalent to grades B and C defined by the International Study Group of Pancreatic Fistula (ISGPF)) was retrospectively compared between patients who underwent Lap-DP with PFC (PFC group, n = 17) and those who underwent Lap-DP without PFC (no-PFC group, n = 25). Results: Incidence of clinical pancreatic fistula was significantly lower in the PFC group than in the no-PFC group. Consistent with the results for pancreatic fistula, peritoneal drainage period and postoperative hospital stay were shorter in the PFC group than in the no-PFC group. Conclusions: Our data show that PFC effectively prevents pancreatic fistula and shortens postoperative hospital stay after Lap-DP.

AB - Background: Laparoscopic distal pancreatectomy (Lap-DP) is one of the most accepted laparoscopic procedures in the field of pancreatic surgery. However, pancreatic fistula remains a major and frequent complication in Lap-DP, as in open surgery. The aim of this retrospective study is to clarify the advantages of prolonged peri-firing compression (PFC) with a linear stapler for prevention of pancreatic fistula after laparoscopic distal pancreatectomy. Patients and methods: Incidence of pancreatic fistula in clinical levels (equivalent to grades B and C defined by the International Study Group of Pancreatic Fistula (ISGPF)) was retrospectively compared between patients who underwent Lap-DP with PFC (PFC group, n = 17) and those who underwent Lap-DP without PFC (no-PFC group, n = 25). Results: Incidence of clinical pancreatic fistula was significantly lower in the PFC group than in the no-PFC group. Consistent with the results for pancreatic fistula, peritoneal drainage period and postoperative hospital stay were shorter in the PFC group than in the no-PFC group. Conclusions: Our data show that PFC effectively prevents pancreatic fistula and shortens postoperative hospital stay after Lap-DP.

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