Research progress on grading and prevention of pancreatic fistula after distal pancreatectomy
10.3760/cma.j.cn115396-20220603-00191
- VernacularTitle:胰体尾切除术后胰瘘的分级及预防的研究进展
- Author:
Jingya YUAN
1
;
Dianrong XIU
Author Information
1. 北京大学第三医院普通外科，北京 100091
- Keywords:
Pancreatectomy;
Pancreatic fistula;
Postoperative complications;
Nutritional support;
Protective agents
- From:
International Journal of Surgery
2022;49(6):371-375
- CountryChina
- Language:Chinese
-
Abstract:
Pancreatic fistula is a common complication after distal pancreatectomy, and its occurrence will increase the risk of other postoperative complications and even lead to the death of patients. Although the grading diagnosis of postoperative pancreatic fistula has been widely applied, the diagnosis of grade B pancreatic fistula is relatively broad. Further stratification is needed to assist in the disease severity assessment and treatment of postoperative patients. In terms of the prevention of pancreatic fistula after distal pancreatectomy, there are still controversies in the aspects of intraoperative operation, early postoperative nutritional support, the timing of drainage tube removal, and the use of somatostatin analogs. Therefore, this article will discuss many problems including grading and prevention of pancreatic fistula after distal pancreatectomy, to provide a more persuasive clinical basis.
