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学科主题临床医学
Postoperative Pancreatic Fistula in Distal Pancreatectomy Experience From 1 Institution
Wang, Hangyan; Xiu, Dianrong; Jiang, Bin; Ma, Chaolai; Yuan, Chunhui
关键词drainage postoperative pancreatic fistula distal pancreatectomy
刊名PANCREAS
2014-05-01
DOI10.1097/MPA.0000000000000072
43期:4页:588-591
收录类别SCI
文章类型Article
WOS标题词Science & Technology
类目[WOS]Gastroenterology & Hepatology
研究领域[WOS]Gastroenterology & Hepatology
关键词[WOS]RISK-FACTORS ; COMPLICATIONS ; RESECTION ; DECREASE ; TRIAL
英文摘要

Objective

Postoperative pancreatic fistula (POPF) and readmission remain the significant sources of morbidity after distal pancreatectomy (DP). We describe a technique of drainage and postoperation management to prevent severe POPF and readmission.

Methods

A retrospective analysis of 57 patients who underwent DP from January 2009 to November 2011 was conducted. The drain was placed just abutting the pancreatic stump by suturing the tissue near the stump. Each patient was discharged carrying an intraabdominal drain, and a strict follow-up was made in the outpatient clinic. Postoperative pancreatic fistula was defined using the international study group classification for pancreatic fistula definition.

Results

Thirty-two patients accepted laparoscopic DP (LDP), and 25 patients accepted open DP (ODP). There was no significant difference in the rate of POPF between the 2 groups (12/32 vs 11/25, P = 0.786). All the POPF cases were grades A and B, but no case was grade C. No case needed a specific intervention. There was no reoperation, readmission, intraabdominal abscess, or surgical site infection.

Conclusions

We conclude that our technique of drainage and postoperation management is associated with a low incidence of severe POPF and readmission. Continued investigation of this technique is warranted.

语种英语
WOS记录号WOS:000334787400014
引用统计
被引频次:2[WOS]   [WOS记录]     [WOS相关记录]
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/63312
专题北京大学药学院_药事管理与临床药学系
北京大学第三临床医学院_普通外科
作者单位Peking Univ, Dept Gen Surg, Hosp 3, Beijing 10019, Peoples R China
推荐引用方式
GB/T 7714
Wang, Hangyan,Xiu, Dianrong,Jiang, Bin,et al. Postoperative Pancreatic Fistula in Distal Pancreatectomy Experience From 1 Institution[J]. PANCREAS,2014,43(4):588-591.
APA Wang, Hangyan,Xiu, Dianrong,Jiang, Bin,Ma, Chaolai,&Yuan, Chunhui.(2014).Postoperative Pancreatic Fistula in Distal Pancreatectomy Experience From 1 Institution.PANCREAS,43(4),588-591.
MLA Wang, Hangyan,et al."Postoperative Pancreatic Fistula in Distal Pancreatectomy Experience From 1 Institution".PANCREAS 43.4(2014):588-591.
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