ArticleJSLS : Journal of the Society of Laparoendoscopic Surgeons
Pancreatic Fistula after Distal Pancreatectomy with Stapler.
Article in JSLS : Journal of the Society of Laparoendoscopic Surgeons. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Objective: To identify a distal pancreatectomy (DP) surgical procedure with a low risk for fistula. Summary Background Data: Common use of computed tomography (CT) increases detection of pancreatic lesions early or incidentally. Methods: We retrospectively analyzed data from 63 patients with DP between 2000 and 2021. Fifty-three patients were diagnosed with tumors and 10 without. The pancreatic thickness at the resection site was measured on CT before surgery. We compared the postoperative outcomes of patients with and without postoperative pancreatic fistula (POPF). Results: Twenty-six patients (41%) were male, and the mean age was 54 ± 15 years. Patients with severe POPF had poorer outcomes, including severe complications, readmission, resurgery, and longer hospital stays than did those without ( Conclusions: DP has a high leakage rate, with some morbidity and mortality. DP thickness >13.2 mm was associated with a higher risk of POPF. Gastrointestinal anastomosis stapling, especially using the double clamping technique, is safe and results in less POPF, as shown in both clinical and cadaveric studies.
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