+ Resolve Article
+ Follow Us
Follow on FacebookFollow on Facebook
Follow on TwitterFollow on Twitter

+ Translate
+ Subscribe to Site Feed
GeoScience Most Shared ContentMost Shared Content

Measure of pancreas transection and postoperative pancreatic fistula

, : Measure of pancreas transection and postoperative pancreatic fistula. Journal of Surgical Research 202(2): 276-283

In pancreaticoduodenectomy (PD), a standard protocol for pancreas transection has not been established although the method of pancreas transection might be involved in the occurrence of postoperative pancreatic fistula (POPF). This study aimed to compare whether pancreas transection by ultrasonically activated shears (UAS) or that by scalpel contributed more to POPF development. A prospective database of 171 patients who underwent PD for periampullary tumor at National Cancer Center Hospital East between January 2010 and June 2013 was reviewed. Among the 171 patients, 93 patients with soft pancreas were specifically included in this study. Surgical results and background were compared between patients with pancreas transection by UAS and scalpel to evaluate the effectiveness of UAS on reducing POPF. Body mass index, main pancreatic duct diameter, or other clinicopathologic factors that have been reported as predictive factors for POPF were not significantly different between the two groups. The incidence of all grades of POPF and that of grade B were significantly lower in the scalpel group (52%, 4%) than in the UAS group (74%, 42%). Postoperative complications ≥ grade III were also significantly fewer in the scalpel group. Scalpel transection was less associated with POPF than UAS transection in patients who underwent PD for soft pancreas. The method of pancreas transection plays an important role in the prevention of clinical POPF.


PMID: 27229101

DOI: 10.1016/j.jss.2016.01.008

Other references

O.Brien, L., 2005: Wheat breeding in Australia. The Australian wheat belt is characterized by low and variable rainfall (80% receives <400 mm per annum). Production extends from the subtropical regions of central Queensland to the typically Mediterranean climates of southern Australia. Soils...

Barca, S.; Fiala, E.; Kovacs, G.; Mathe, Z.; Policzer, M.; Schwimmer, K., 1956: Diagnosis of autonomic regulation disorders. Orvosi Hetilap 97(42): 1159-1163

Thakkar, A.N.; Muranjan, M.N.; Karande, S.; Shah, N.S., 2015: Neonatal diabetes mellitus due to a novel ABCC8 gene mutation mimicking an organic acidemia. Neonatal diabetes mellitus and organic acidemias, may present with similar features like hyperglycemia, ketoacidosis and failure to thrive. A four-mo-old girl presented with diabetic ketoacidosis following a febrile respiratory illness during whic...

Zhao, Q.; Betley, T.A., 2011: Synthesis and redox properties of triiron complexes featuring strong Fe-Fe interactions. Angewandte Chemie 50(3): 709-712

Namesny Vallespir, A., 1996: Vegetables postharvest. Volume II - Bulbs, tubers, rhizomes. This book contains comprehensive information on all aspects of harvesting and postharvest treatments applied to 20 vegetable crops. Details are provided on harvesting dates, methods, equipment and injuries; pre- and postharvest diseases, disorders...

Lichtenberg, E.Z.lberman, D., 1987: Regulating environmental and human health risks from agricultural residuals. Applied agricultural research(1): 56-64

Jefferies, Ann L., 1997: Implementation of a program specific, detailed ITER Is this what faculty and residents want?. Clinical & Investigative Medicine 20(4 SUPPL ): S51

Hirayama, M., 1970: Rubella and congenital rubella syndrome in Japan. Paediatria Universitatis Tokyo 18: 41-44

Quigley, C.A.; D.B.llis, A.; Marschke, K.B.; el-Awady, M.K.; Wilson, E.M.; French, F.S., 1995: Androgen receptor defects: historical, clinical, and molecular perspectives. In order to compare maternal and fetal exposure to compounds of tobacco smoke at the end of pregnancy, concentrations of cotinine and thiocyanate were measured in cord serum and maternal serum collected from 24 daily smoking and four non-smoking w...

Cairo, L.V.; Ptak, C.; Wozniak, R.W., 2013: Mitosis-specific regulation of nuclear transport by the spindle assembly checkpoint protein Mad1p. Nuclear pore complexes (NPCs) and kinetochores perform distinct tasks, yet their shared ability to bind several proteins suggests their functions are intertwined. Among these shared proteins is Mad1p, a component of the yeast spindle assembly chec...