远端胰腺切除术时残端闭合的新方法。
New method of remnant closure during distal pancreatectomy.
机构信息
Department of Surgery, Medical Faculty, Clinical Center, University of Pécs, Ifjúság u. 13., 7624, Pécs, Hungary.
Institute of Bioanalysis, Medical Faculty, University of Pécs, Honvéd u. 1., 7624, Pécs, Hungary.
出版信息
Langenbecks Arch Surg. 2023 May 4;408(1):176. doi: 10.1007/s00423-023-02916-2.
PURPOSE
Pancreatic fistula following distal pancreatectomies still remains a relevant problem. The present study describes our first series with a new method of pancreatic remnant closure.
METHODS
A free fascia-peritoneum graft - harvested from the internal rectus sheet - was fixed onto the pancreatic stump by one circular stitch. The method was applied in 18 cases.
RESULTS
The postoperative hospital stay was 8 days in average. No clinically relevant postoperative pancreatic fistula (CR-POPF) developed. The morbidity rate was 39%, mostly Clavien-Dindo Grade II types. There was no reoperation or mortality.
CONCLUSION
The first series showed advantageous results with our method. Certainly, further studies are needed for the evaluation of this new and promising technique.
目的
远端胰腺切除术术后胰瘘仍然是一个相关问题。本研究描述了我们采用一种新的胰腺残端闭合方法的首组系列病例。
方法
从腹直肌内面游离筋膜-腹膜移植物，用一个圆形缝线固定到胰腺残端上。该方法应用于 18 例患者。
结果
术后平均住院时间为 8 天。无临床相关的术后胰瘘（CR-POPF）发生。发病率为 39%，主要为 Clavien-Dindo Ⅱ级类型。无再次手术或死亡病例。
结论
首组系列病例显示了我们方法的有利结果。当然，需要进一步的研究来评估这种新的有前途的技术。
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