Clip on Staple Method Reduces Clinically Relevant Pancreatic Fistula After Distal Pancreatectomy
| Autor: | Takashi Nishizaki, Takashi Motomura, Takahiro Tomino, Rumi Matono, Mizuki Ninomiya, Hideaki Uchiyama |
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| Rok vydání: | 2019 |
| Předmět: |
Pancreatic parenchyma
Laparoscopic surgery Male Cancer Research medicine.medical_specialty medicine.medical_treatment education 03 medical and health sciences Pancreatic Fistula 0302 clinical medicine Pancreatectomy Postoperative Complications Surgical Stapling medicine Humans cardiovascular diseases CLIPS Pancreas computer.programming_language Aged business.industry Incidence General Medicine medicine.disease Surgical Instruments nervous system diseases Predictive factor Surgery surgical procedures operative medicine.anatomical_structure Oncology Pancreatic fistula 030220 oncology & carcinogenesis Regression Analysis Female Laparoscopy Distal pancreatectomy Complication business computer circulatory and respiratory physiology |
| Zdroj: | Anticancer research. 39(12) |
| ISSN: | 1791-7530 |
| Popis: | Background/aim In order to overcome postoperative pancreatic fistula (POPF) after distal pancreatectomy (DP), we have developed a new simple technique-Clip on Staple method. Patients and methods In Clip on Staple method, pancreatic parenchyma was divided using a stapling device with a stepped-height staple design to make linear compression line, and thereafter, the full length of the staple line was reinforced by multiple clips. Clinical outcomes were retrospectively compared between Clip on Staple group (n=23) and Non-Clip group (n=38). Results The incidence of clinically relevant POPF (CR-POPF) was significantly lower in the Clip on Staple group than in the Non-Clip group (4.3 and 36.8%, p=0.005). Multivariate logistic regression analysis revealed that only Clip on Staple method was an independent predictive factor of a decrease in the occurrence of CR-POPF. Conclusion The Clip on Staple method, a simple and easily applicable technique even in laparoscopic surgery, significantly reduced the occurrence of CR-POPF among patients undergoing DP. |
| Databáze: | OpenAIRE |
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