ArticleAnnals of surgical treatment and research2016
The natural course of pancreatic fistula and fluid collection after distal pancreatectomy: is drain insertion needed?
Article in Annals of surgical treatment and research, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed.
- Article
- Assessing Intra-abdominal status for clinically relevant postoperative pancreatic fistula based on postoperative fluid collection and drain amylase levels after distal pancreatectomy.Annals of gastroenterological surgery · 2024Article
- Article
- Endoscopic ultrasound-guided versus percutaneous drainage for the management of post-operative fluid collections after distal pancreatectomy.Surgical endoscopy · 2023Article
- Management of clinically relevant postoperative pancreatic fistula-related fluid collections after distal pancreatectomy.Surgical endoscopy · 2023Article
- Drainage volume on postoperative day one to predict clinically relevant postoperative pancreatic fistula following distal pancreatectomy.BMC surgery · 2022Article
- Article
- A Novel Way of Preventing Postoperative Pancreatic Fistula by Directly Injecting Profibrogenic Materials into the Pancreatic Parenchyma.International journal of molecular sciences · 2020Article
- A new enhanced recovery after surgery pathway for left-sided pancreatic cancer patients after distal pancreatectomy.Translational cancer research · 2019Article
- The Clinical Implications of Peripancreatic Fluid Collection After Distal Pancreatectomy.World journal of surgery · 2019Article
- Bile duct segmental resection versus pancreatoduodenectomy for middle and distal common bile duct cancer.Annals of surgical treatment and research · 2018Article
- Computer tomographic assessment of postoperative peripancreatic collections after distal pancreatectomy.Langenbeck's archives of surgery · 2018Article
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5 authors.
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Abstract
purposePostoperative 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 insertion.
methodsFor recent 10 years, 264 distal pancreatectomies were performed at Seoul National University Hospital. Clinicopathologic data including POPF and postoperative fluid collection (POFC), and its treatment modality were reviewed retrospectively. During follow-up, the location, size, and clinical impact of the POFC were determined on the basis of CT images.
resultsClinically relevant POPFs were identified in 72 patients (27.3%). Therapeutic interventions were performed in 40 patients (55.6%), and conservative management was successful in 32 patients (44.4%). POFC was detected in 191 cases (72.3%) on the first postoperative CT. During follow-up, spontaneous regressions were observed in 119 cases (93.0%). Only thick pancreatic stump increased the risk of clinically relevant POPF (≥17.3 mm, P = 0.002) and the occurrence of POFC (≥16.0 mm, P < 0.001) in multivariate analysis.
conclusionIntraoperative abdominal drainage insertion could be selectively indwelled in patients with a thickness of pancreas ≥17.3 mm. Since radiologically-proven POFC after distal pancreatecomy showed a 93.0 rate of spontaneous regression, POFC without signs of infection can be safely monitored.
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