ArticleWorld journal of gastrointestinal surgery2012
Arguments for an individualized closure of the pancreatic remnant after distal pancreatic resection.
Article in World journal of gastrointestinal surgery, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.
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Who cites it
9 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.
- Pooled it
- Meta-analysis and trial sequential analysis of pancreatic stump closure using a hand-sewn or stapler technique in distal pancreatectomy.Annals of hepato-biliary-pancreatic surgery · 2024Review
- Management of late hemorrhage after pancreatic surgery: treatment strategy and prognosis.The Journal of international medical research · 2020Article
- Results of Standard Stapler Closure of Pancreatic Remnant After Distal Spleno-Pancreatectomy for Adenocarcinoma.Frontiers in surgery · 2020Article
- Evaluation of preoperative risk factors for postpancreatectomy hemorrhage.Langenbeck's archives of surgery · 2019Article
- Risk Factors of Pancreatic Fistula in Distal Pancreatectomy Patients.Surgery research and practice · 2019Article
- Comparison of different feeding regimes after pancreatoduodenectomy - a retrospective cohort analysis.Nutrition journal · 2017Article
- Postpancreatectomy hemorrhage--incidence, treatment, and risk factors in over 1,000 pancreatic resections.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2014Article
- Bovine Serum Albumin-Glutaraldehyde Sealed Fish-Mouth Closure of the Pancreatic Remnant during Distal Pancreatectomy.HPB surgery : a world journal of hepatic, pancreatic and biliary surgeryArticle
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimTo analyze risk factors for postoperative pancreatic fistula (POPF) rate after distal pancreatic resection (DPR).
methodsWe performed a retrospective analysis of 126 DPRs during 16 years. The primary endpoint was clinically relevant pancreatic fistula.
resultsOver the years, there was an increasing rate of operations in patients with a high-risk pancreas and a significant change in operative techniques. POPF was the most prominent factor for perioperative morbidity. Significant risk factors for pancreatic fistula were high body mass index (BMI) [odds ratio (OR) = 1.2 (CI: 1.1-1.3), P = 0.001], high-risk pancreatic pathology [OR = 3.0 (CI: 1.3-7.0), P = 0.011] and direct closure of the pancreas by hand suture [OR = 2.9 (CI: 1.2-6.7), P = 0.014]. Of these, BMI and hand suture closure were independent risk factors in multivariate analysis. While hand suture closure was a risk factor in the low-risk pancreas subgroup, high BMI further increased the fistula rate for a high-risk pancreas.
conclusionWe propose a risk-adapted and indication-adapted choice of the closure method for the pancreatic remnant to reduce pancreatic fistula rate.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.