Soft coagulation, polyglycolic acid felt, and fibrin glue for prevention of pancreatic fistula after distal pancreatectomy

Surgery Today ◽  
2011 ◽  
Vol 41 (9) ◽  
pp. 1224-1227 ◽  
Author(s):  
Toru Ikegami ◽  
Takashi Maeda ◽  
Hiroto Kayashima ◽  
Eiji Oki ◽  
Tomoharu Yoshizumi ◽  
...  
Keyword(s):  
Pancreatic Fistula ◽  
Distal Pancreatectomy ◽  
Fibrin Glue ◽  
Polyglycolic Acid ◽  
Soft Coagulation

Closure method for thick pancreas stump after distal pancreatectomy: soft coagulation and polyglycolic acid felt with fibrin glue

2015 ◽  
Vol 400 (7) ◽  
pp. 843-848 ◽  
Author(s):  
Hirofumi Akita ◽  
Hidenori Takahashi ◽  
Kunihito Gotoh ◽  
Shogo Kobayashi ◽  
Keijiro Sugimura ◽  
...  
Keyword(s):  
Distal Pancreatectomy ◽  
Fibrin Glue ◽  
Polyglycolic Acid ◽  
Soft Coagulation ◽  
Closure Method

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.

Use of fibrin glue sealant with polyglycolic acid sheets to prevent pancreatic fistula formation after laparoscopic-assisted gastrectomy

Surgery Today ◽  
2012 ◽  
Vol 43 (5) ◽  
pp. 527-533 ◽  
Author(s):  
Yuichiro Hiura ◽  
Shuji Takiguchi ◽  
Kazuyoshi Yamamoto ◽  
Yukinori Kurokawa ◽  
Makoto Yamasaki ◽  
...  
Keyword(s):  
Pancreatic Fistula ◽  
Fibrin Glue ◽  
Polyglycolic Acid ◽  
Fistula Formation ◽  
Fibrin Glue Sealant ◽  
Laparoscopic Assisted

FIBRIN GLUE-PROTEASE INHIBITOR MIXTURE PREVENTS PANCREATIC FISTULA AFTER DISTAL PANCREATECTOMY

Pancreas ◽  
2007 ◽  
Vol 35 (1) ◽  
pp. 82
Author(s):  
Masamichi Matsuda ◽  
Goro Watanabe ◽  
Masaji Hashimoto
Keyword(s):  
Protease Inhibitor ◽  
Pancreatic Fistula ◽  
Distal Pancreatectomy ◽  
Fibrin Glue ◽  
Protease Inhibitor Mixture

Fibrin Glue Sandwich Prevents Pancreatic Fistula following Distal Pancreatectomy

1998 ◽  
Vol 22 (5) ◽  
pp. 494-498 ◽  
Author(s):  
Susumu Ohwada ◽  
Tetsushi Ogawa ◽  
Yoshifumi Tanahashi ◽  
Seiji Nakamura ◽  
Izumi Takeyoshi ◽  
...  
Keyword(s):  
Pancreatic Fistula ◽  
Distal Pancreatectomy ◽  
Fibrin Glue

scholarly journals Effect of Polyglycolic Acid Mesh for Prevention of Pancreatic Fistula Following Distal Pancreatectomy

JAMA Surgery ◽  
2017 ◽  
Vol 152 (2) ◽  
pp. 150 ◽  
Author(s):  
Jin-Young Jang ◽  
Yong Chan Shin ◽  
Youngmin Han ◽  
Joon Seong Park ◽  
Ho-Seong Han ◽  
...  
Keyword(s):  
Pancreatic Fistula ◽  
Distal Pancreatectomy ◽  
Polyglycolic Acid ◽  
Polyglycolic Acid Mesh

scholarly journals Fibrin glue-protease inhibitor mixture prevents pancreatic fistula after distal pancreatectomy

Suizo ◽  
2006 ◽  
Vol 21 (4) ◽  
pp. 329-332
Author(s):  
Masamichi MATSUDA ◽  
Goro WATANABE ◽  
Masaji HASHIMOTO
Keyword(s):  
Protease Inhibitor ◽  
Pancreatic Fistula ◽  
Distal Pancreatectomy ◽  
Fibrin Glue ◽  
Protease Inhibitor Mixture
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