Pancreatic fistula after distal pancreatectomy
10.3760/cma.j.issn.1007-631X.2011.12.011
- VernacularTitle:胰体尾切除术后并发胰瘘的防治
- Author:
Wei LIU
;
Rong HUA
;
Gang ZHAO
;
Wei CHEN
;
Yongwei SUN
;
Zhiyong WU
- Publication Type:Journal Article
- Keywords:
Pancreatectomy;
Pancreatic fistula;
Suture technique
- From:
Chinese Journal of General Surgery
2011;26(12):1005-1007
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate measures in the prevention of pancreatic fistula after distal pancreatectomy.Methods Clinical data of 124 cases of distal pancreatectomy performed during 2000 and 2009 in our hospital were retrospectively analyzed,including 86 cases of pancreatic carcinoma,12 cases of pancreatic pseudocyst and pancreatic benign tumor,18 cases of gastroenteric tumor with pancreatic body/tail invasion,3 cases of chronic pancreatitis with body/tail pseudocyst,5 cases of pancreatic injury.Cases were divided into two groups retrospectively by ways the stump pancreas were closed.Group A included 63 cases in which the stump end was closed by simple interrupted mattress suture,group B including 61 cases in those the stump was sutured by interrupted mattress combined with a safe ligation of the main pancreatic duct.Results Pancreatic fistula occurred in 22 cases in group A,the incidence was 34.9％,among the 22 cases,10 cases were high-flow type,12 cases were low-flow type; while the pancreatic fistula occurred in 9 cases in group B,the incidence was 14.7％,there was no high-flow type fistula.Conclusions Interrupted mattress suture combined with interlocking suture and suture of main pancreatic duct is effective in decreasing the rate of pancreatic fistula after distal pancreatectomy.
