Evidence map›Paper›PMID 38687358›Full record

ArticleLangenbeck's archives of surgery2024

Efficacy of pancreaticojejunostomy of the pancreatic stump during distal or central pancreatectomy.

Teijiro Hirashita, Atsuro Fujinaga, Yuiko Nagasawa, Hiroki Orimoto, Shota Amano, Masahiro Kawamura, Takahide Kawasaki, Yoko Kawano, Takashi Masuda, Yuichi Endo and 1 more

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In one paragraph

Article in Langenbeck's archives of surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Teijiro HirashitaDepartment of Gastroenterological and Pediatric Surgery, Oita University Faculty of Medicine, Oita, Japan. teij03@oita-u.ac.jp.
Atsuro FujinagaDepartment of Gastroenterological and Pediatric Surgery, Oita University Faculty of Medicine, Oita, Japan.
Yuiko NagasawaDepartment of Gastroenterological and Pediatric Surgery, Oita University Faculty of Medicine, Oita, Japan.
Hiroki OrimotoDepartment of Gastroenterological and Pediatric Surgery, Oita University Faculty of Medicine, Oita, Japan.
Shota AmanoDepartment of Gastroenterological and Pediatric Surgery, Oita University Faculty of Medicine, Oita, Japan.
Masahiro KawamuraDepartment of Gastroenterological and Pediatric Surgery, Oita University Faculty of Medicine, Oita, Japan.
Takahide KawasakiDepartment of Gastroenterological and Pediatric Surgery, Oita University Faculty of Medicine, Oita, Japan.
Yoko KawanoDepartment of Gastroenterological and Pediatric Surgery, Oita University Faculty of Medicine, Oita, Japan.
Takashi MasudaDepartment of Gastroenterological and Pediatric Surgery, Oita University Faculty of Medicine, Oita, Japan.
Yuichi EndoDepartment of Gastroenterological and Pediatric Surgery, Oita University Faculty of Medicine, Oita, Japan.
Masafumi InomataDepartment of Gastroenterological and Pediatric Surgery, Oita University Faculty of Medicine, Oita, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA stapler is usually used for transection and closure of the pancreas in distal pancreatectomy (DP) or central pancreatectomy (CP). When the pancreas is transected to the right of the portal vein, it is difficult to use a stapler and clinically relevant postoperative pancreatic fistula (CR-POPF) frequently occurs. We report on the efficacy of pancreaticojejunostomy (PJ) of the pancreatic stump for patients in whom stapler use is difficult.

methodsPatients who underwent DP or CP were enrolled in this study. The pancreas was usually transected by a stapler, and ultrasonic coagulating shears (UCS) were used depending on the tumor situation. When using UCS, hand-sewn closure or PJ was performed for the pancreatic stump. The relationship between clinicopathological factors and the methods of pancreatic transection and closure were investigated.

resultsIn total, 164 patients underwent DP or CP, and the pancreas was transected with a stapler in 150 patients and UCS in 14 patients. The rate of CR-POPF was higher and the postoperative hospital stay was longer in the UCS group than in the stapler group. PJ of the pancreatic stump, which was performed for 7 patients, did not worsen intraoperative factors. CR-POPF was not seen in these 7 patients, which was significantly less than that with hand-sewn closure.

conclusionsPJ of the pancreatic stump during DP or CP reduces CR-POPF compared with hand-sewn closure and may be useful especially when the pancreas is transected to the right of the portal vein.

Indexed as

PancreatectomyPancreatic FistulaPancreatic NeoplasmsPancreaticojejunostomyAdultAgedAged, 80 and overFemaleHumansLength of StayMaleMiddle AgedPostoperative ComplicationsRetrospective StudiesSurgical StaplersSurgical StaplingCentral pancreatectomyDistal pancreatectomyPancreatic fistulaPancreaticojejunostomy

Identifiers

PMID38687358

What OpenQuestion holds

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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.