Fistula incidence after distal pancreatectomy (DP)

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Gastric wall-covering method prevents pancreatic fistula after distal pancreatectomy.

BACKGROUND/AIMS Pancreatic fistula is the most common complication after distal pancreatectomy. The aim of this study was to evaluate retrospectively the usefulness of a new surgical technique, the gastric wall-covering method, after distal pancreatectomy. METHODOLOGY The study group consisted of 53 patients who underwent distal pancreatectomy. The management of the stump of the remnant pancr...

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Preventing pancreatic fistula after distal pancreatectomy: An invagination method

Following an increase in the use of the GIA stapler for treating a pancreatic stump, more techniques to prevent postoperative pancreatic juice leakage have been required. We describe one successful case using our new technique of invaginating the cut end of the pancreas into the stomach to prevent a pancreatic fistula (PF) from occurring. A 50-year-old woman with pancreatic cancer in the tail o...

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Pancreatic Diabetes after Distal Pancreatectomy: Incidence Rate and Risk Factors

PURPOSE Pancreatectomy can impair production of endocrine and exocrine hormones. In this study, we evaluated: 1) the incidence rate of diabetes in patients undergoing distal pancreatectomy; 2) the correlation between the occurrence of pancreatic diabetes and the extent of the resected pancreas; and 3) factors associated with the development of pancreatic diabetes. METHODS We retrospectively r...

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The natural course of pancreatic fistula and fluid collection after distal pancreatectomy: is drain insertion needed?

PURPOSE Postoperative pancreatic fistula (POPF) is one of the most common and clinically relevant complications after distal pancreatectomy. Some aspects of POPF management remain controversial. Therefore, the aim of this study was to determine the natural course of POPF and fluid collection after distal pancreatectomy and to reappraise the necessity of intraoperative abdominal drainage inserti...

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Dynamic contrast-enhanced magnetic resonance imaging to predict pancreatic fistula after distal pancreatectomy.

BACKGROUND/AIMS This study hopes to identify risk factors for postoperative pancreatic fistulae in patients undergoing distal pancreatectomy. METHODS The study group was composed of 39 patients who had undergone distal pancreatectomy between January 2000 and June 2008. Fourteen presumed risk factors were retrospectively reviewed. RESULTS Pancreatic fistula developed in 10 patients (25.6%). ...

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ژورنال

عنوان ژورنال: HPB

سال: 2016

ISSN: 1365-182X

DOI: 10.1016/j.hpb.2016.03.090