Does a fibrin glue sealant decrease post-operative pancreatic fistulae after pancreaticoduodenectomy; A single centre comparative study in 100 consecutive patients undergoing Whipple's procedure by a single surgeon
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چکیده
منابع مشابه
Does Fibrin Glue Sealant Used During Pancreaticoduodenectomy Reduce Post-Operative Complication? Audit of 100 Consecutive Patients Undergoing Whipple’s Procedure by a Single Surgeon
Introduction This study evaluated the effect of fibrin glue applied as a sandwich film between a two layer pancreatico-jejunostomy anastomosis following pancreaticoduodenectomy. Primary end-points were post-operative pancreatic fistulae, overall complication rates and post-operative length of stay. Methods Pancreaticoduodenectomy was performed by fashioning a two layer pancreatico-jejunostomy w...
متن کاملFibrin glue closure for intractable pancreatic fistulae after pancreaticoduodenectomy.
CONTEXT Treatment of pancreatic fistulae after pancreaticoduodenectomy is extremely important because it determines the patient's postoperative course. In particular, treatment of grade B cases should be conducted in a timely manner to avoid deterioration to grade C. OBJECTIVE We report the successful treatment of six cases of postoperative intractable, grade B pancreatic fistulae, in which f...
متن کاملDivision of surgeon workload in pancreaticoduodenectomy: striving to decrease post‐operative pancreatic fistula
BACKGROUND Many studies have reported factors affecting pancreatic leakage after pancreaticoduodenectomy (PD), but there have been few reports on surgeon workload and post-operative pancreatic fistula (POPF). This study was conducted to explore whether a surgeon's workload during PD impacts the occurrence of POPF. METHODS We retrospectively analysed 270 consecutive patients who underwent PD b...
متن کاملRole of Prophylactic Octreotide in Pancreaticoduodenectomy: A Single Centre Comparative Study in 456 Whipple’s Patients
Introduction Prophylactic octreotide is controversial in pancreatic surgery in prevention of complications and severity of post-operative pancreatic fistula. We aimed to investigate the influence of prophylactic Octreotide in patients undergoing Pancreaticoduodenectomy and evaluate the cost effectiveness. Methods Prospectively collected data from patients undergoing pancreaticoduodenectomy rese...
متن کاملPartial Pancreaticoduodenectomy (Whipple Procedure) for Pancreatic Malignancy: Occlusion of a Non-Anastomosed Pancreatic Stump With Fibrin Sealant
Following partial pancreaticoduodenectomy for periampullary and pancreatic cancer, the complication and mortality rates are particularly high. Various approaches have aimed at improving the postoperative result, with less than complete success. The discouraging results of others, and our own dissatisfaction, led us to evaluate an atraumatic, sutureless method for management of the residual glan...
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ژورنال
عنوان ژورنال: HPB
سال: 2016
ISSN: 1365-182X
DOI: 10.1016/j.hpb.2016.01.430