Yamashita Yo-Ichi, Tsujita Eiji, Chikamoto Akira, Imai Katsunori, Kaida Takayoshi, Yamao Takanobu, Umezaki Naoki, Nakagawa Shigeki, Hashimoto Daisuke, Baba Hideo
Department of Gastroenterological Surgery, Graduate School of Life Sciences, Kumamoto University, Kumamoto, Japan
Department of Hepato-Biliary-Pancreatic Surgery, National Kyushu Cancer Center, Fukuoka, Japan.
Anticancer Res. 2017 Apr;37(4):1865-1868. doi: 10.21873/anticanres.11523.
The incidence of postoperative pancreatic fistula (POPF) remains high at approximately 30% of cases with distal pancreatectomy (DP) and is associated with higher incidence of life-threatening complications. However, the most appropriate closure technique for the pancreatic stump during DP remains controversial. We, herein, present details of the use of a linear stapling device with pre-attached bioabsorbable polyglycolic acid (PGA) felt for pancreatic stump closure during DP. Grade B or C POPF occurred in only one case (5%) among 22 consecutive patients.
术后胰瘘（POPF）的发生率在远端胰腺切除术（DP）病例中仍高达约30%，且与危及生命的并发症的较高发生率相关。然而，DP期间胰腺残端最合适的闭合技术仍存在争议。在此，我们介绍了在DP期间使用带有预附着生物可吸收聚乙醇酸（PGA）毡的线性缝合器械闭合胰腺残端的详细情况。在连续22例患者中，仅1例（5%）发生了B级或C级POPF。
