The treatment indication and optimal management of fluid collection after laparoscopic distal pancreatectomy

2018 ◽  
Vol 33 (10) ◽  
pp. 3314-3324 ◽  
Author(s):  
Ki Byung Song ◽  
Jaewoo Kwon ◽  
Young-Joo Lee ◽  
Dae Wook Hwang ◽  
Jae Hoon Lee ◽  
...  
Keyword(s):  
Distal Pancreatectomy ◽  
Fluid Collection ◽  
Laparoscopic Distal Pancreatectomy ◽  
Optimal Management ◽  
Treatment Indication

scholarly journals Optimal management of peripancreatic fluid collection with postoperative pancreatic fistula after distal pancreatectomy: Significance of computed tomography values for predicting fluid infection

PLoS ONE ◽  
2021 ◽  
Vol 16 (11) ◽  
pp. e0259701
Author(s):  
Koki Maeda ◽  
Naohisa Kuriyama ◽  
Yuki Nakagawa ◽  
Takahiro Ito ◽  
Aoi Hayasaki ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Pancreatic Fistula ◽  
Distal Pancreatectomy ◽  
Fluid Collection ◽  
Intervention Group ◽  
Postoperative Pancreatic Fistula ◽  
Optimal Management ◽  
Duration Of Hospitalization ◽  
Pancreatic Fistulas ◽  
Fluid Collections

Peripancreatic fluid collections have been observed in most patients with postoperative pancreatic fistula after distal pancreatectomy; however, optimal management remains unclear. This study aimed to evaluate the management and outcomes of patients with postoperative pancreatic fistula and verify the significance of computed tomography values for predicting peripancreatic fluid infections after distal pancreatectomy. We retrospectively investigated 259 consecutive patients who underwent distal pancreatectomy. Grade B postoperative pancreatic fistula patients were divided into two subgroups (B-antibiotics group and B-intervention group) and outcomes were compared. Predictive factor analysis of peripancreatic fluid infection was performed. Clinically relevant postoperative pancreatic fistulas developed in 88 (34.0%) patients. The duration of hospitalization was significantly longer in the B-intervention (n = 54) group than in the B-antibiotics group (n = 31; 41 vs. 17 days, p < 0.001). Computed tomography values of the infected peripancreatic fluid collections were significantly higher than those of the non-infected peripancreatic fluid collections (26.3 vs. 16.1 Hounsfield units, respectively; p < 0.001). The outcomes of the patients with grade B postoperative pancreatic fistulas who received therapeutic antibiotics only were considerably better than those who underwent interventions. Computed tomography values may be useful in predicting peripancreatic fluid collection infection after distal pancreatectomy.

scholarly journals Is laparoscopic distal pancreatectomy decreasing morbidity? A multicentre study (ERPANDIS)

HPB ◽  
2020 ◽  
Vol 22 ◽  
pp. S305-S306
Author(s):  
M. Serradilla ◽  
J.V. Del Río ◽  
F. Rotellar ◽  
L. Sabater ◽  
A. Manuel ◽  
...  
Keyword(s):  
Multicentre Study ◽  
Distal Pancreatectomy ◽  
Laparoscopic Distal Pancreatectomy

scholarly journals Wrapping the pancreas with a polyglycolic acid sheet before stapling reduces the risk of fluid collection on the pancreatic stump after distal pancreatectomy

2021 ◽  
Author(s):  
Ji Su Kim ◽  
Seoung Yoon Rho ◽  
Dong Min Shin ◽  
Munseok Choi ◽  
Chang Moo Kang ◽  
...  
Keyword(s):  
Pancreatic Fistula ◽  
Distal Pancreatectomy ◽  
Fluid Collection ◽  
International Study ◽  
Polyglycolic Acid ◽  
Previous Method ◽  
Tertiary Referral ◽  
Tertiary Referral Hospital ◽  
Pancreatic Stump ◽  
Resection Line

Abstract Background Postoperative pancreatic fistula (POPF) and postoperative fluid collection (POFC) are common complications after distal pancreatectomy (DP). The previous method of reducing the risk of POPF was the application of a polyglycolic acid (PGA) sheet to the pancreatic stump after cutting the pancreas with a stapler (After-stapling); the new method involves wrapping the pancreatic resection line with a PGA sheet before stapling (Before-stapling). The study aimed to compare the incidence of POPF and POFC between two methods. Methods Data of patients who underwent open or laparoscopic DPs by a single surgeon from October 2010 to February 2020 in a tertiary referral hospital were retrospectively analyzed. POPF was defined according to the updated International Study Group of Pancreatic Fistula criteria. POFC was measured by postoperative computed tomography (CT). Results Altogether, 182 patients were enrolled (After-stapling group, n = 138; Before-stapling group, n = 44). Clinicopathologic and intraoperative findings between the two groups were similar. Clinically relevant POPF rates were similar between both groups (4.3% vs. 4.5%, p = 0.989). POFC was significantly lesser in the Before-stapling group on postoperative day 7 (p < 0.001). Conclusions Wrapping the pancreas with PGA sheet before stapling was a simple and effective way to reduce POFC.

Left-posterior approach for artery-first en bloc resection in laparoscopic distal pancreatectomy for left-sided pancreatic cancer

2020 ◽  
Vol 405 (8) ◽  
pp. 1251-1258
Author(s):  
Kazuyuki Nagai ◽  
Gozo Kiguchi ◽  
Akitada Yogo ◽  
Takayuki Anazawa ◽  
Shintaro Yagi ◽  
...  
Keyword(s):  
Pancreatic Cancer ◽  
Distal Pancreatectomy ◽  
Posterior Approach ◽  
Laparoscopic Distal Pancreatectomy ◽  
En Bloc Resection ◽  
Bloc Resection ◽  
En Bloc ◽  
Left Posterior ◽  
Artery First

Successful laparoscopic distal pancreatectomy for a large solid pseudopapillary neoplasm: A case report

2017 ◽  
Vol 10 (3) ◽  
pp. 317-320 ◽  
Author(s):  
Seiichiro Tada ◽  
Taku Iida ◽  
Takayuki Anazawa ◽  
Shintaro Yagi ◽  
Satoru Seo ◽  
...  
Keyword(s):  
Case Report ◽  
Distal Pancreatectomy ◽  
Laparoscopic Distal Pancreatectomy ◽  
Solid Pseudopapillary Neoplasm

Surgical adjuncts to laparoscopic distal pancreatectomy

2011 ◽  
Vol 20 (6) ◽  
pp. 369-373 ◽  
Author(s):  
Stuart Robinson ◽  
Rehan Saif ◽  
Richard M Charnley ◽  
Jeremy J French ◽  
Steve A White
Keyword(s):  
Distal Pancreatectomy ◽  
Laparoscopic Distal Pancreatectomy

Laparoscopic distal pancreatectomy for inflammatory pseudotumor of the pancreas

2004 ◽  
Vol 18 (6) ◽  
pp. 1001-1001 ◽  
Author(s):  
B. G. DeRubertis ◽  
J. McGinty ◽  
M. Rivera ◽  
P. F. Miskovitz ◽  
T. J. Fahey
Keyword(s):  
Distal Pancreatectomy ◽  
Inflammatory Pseudotumor ◽  
Laparoscopic Distal Pancreatectomy

Laparoscopic distal pancreatectomy with or without splenectomy: Spleen and splenic vessels preservation does not increase morbidity

Pancreatology ◽  
2016 ◽  
Vol 16 (4) ◽  
pp. S23
Author(s):  
Kazuhiro Suzumura ◽  
Toshihiro Okada ◽  
Yasukane Asano ◽  
Hisashi Kosaka ◽  
Tadamichi Hirano ◽  
...  
Keyword(s):  
Distal Pancreatectomy ◽  
Laparoscopic Distal Pancreatectomy ◽  
Splenic Vessels ◽  
Splenic Vessels Preservation

scholarly journals Innovative technique for gastric retraction during laparoscopic distal pancreatectomy: the marionette

2015 ◽  
Vol 2015 (12) ◽  
pp. rjv157 ◽  
Author(s):  
Rodrigo C. Surjan ◽  
Tiago Basseres ◽  
Fabio F. Makdissi ◽  
Marcel A.C. Machado
Keyword(s):  
Distal Pancreatectomy ◽  
Laparoscopic Distal Pancreatectomy ◽  
Innovative Technique
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