The clinical application of laparoscopic distal pancreatic resection (LDP): A report of 23 cases

Pancreatology ◽  
2016 ◽  
Vol 16 (1) ◽  
pp. S38
Author(s):  
D.L. Chen ◽  
X. Liang ◽  
A.A. Liu ◽  
L. Tang ◽  
C.H. Shao
Keyword(s):  
Clinical Application ◽  
Pancreatic Resection ◽  
Distal Pancreatic Resection

scholarly journals Pancreatic fistulae following pancreatic resection. Analysis of causes and prevention methods

2018 ◽  
Vol 22 (4) ◽  
pp. 640-646
Author(s):  
K.G. Valikhnovska
Keyword(s):  
Risk Factors ◽  
Pancreatic Fistula ◽  
Pancreatic Duct ◽  
Pancreatic Resection ◽  
Pancreatic Head ◽  
Preoperative Period ◽  
External Drainage ◽  
Distal Pancreatic Resection ◽  
Glycemic Level ◽  
Prevention Methods

The causes of pancreatic fistula were analyzed in 503 patients aged from 22 to 81who underwent pancreaticoduodenectomy for pancreatic and periampullary tumors. The said patients were operated on during the period from 2008 to 2017. The aim of this study is to improve the outcomes of pancreatic resection based on a retrospective analysis of the risk factors of postoperative pancreatic fistulae and the development of a range of measures to prevent the above complication. The influence of factors on the risk of pancreatic fistula was investigated by Pearson method (χ2). The factors contributing to the occurrence of pancreatic fistulae included type of resection (Whipple pancreaticoduodenectomy, pylorus preserving pancreaticoduodenectomy; χ2=8.616,1, p=0.0033, p<0.01), kind of pathology (cancer of the pancreatic head, χ2=7.658,1, p=0.0057, p<0.01), type of pancreaticojejunostomy (invaginative pancreatic duct-jejunostomy; χ2=12.75,1, p<0.001), technique for drainage of the major pancreatic duct (pancreaticojejunostomy on external drainage, χ2=44.01,1, p<0.0001), resection of venous vessels following distal pancreatic resection (χ2=8.350,1, p=0.0039, p<0.01), glycemic level in the preoperative period (P=0.0344,U=15061), the presence of concomitant diseases in patients (χ2=15.62,1, p=0.0001, p<0.001). Preoperative glycemic level and the presence of concomitant diseases in patients are factors that can be influenced to prevent the onset of pancreatic fistula in the postoperative period in patients who are scheduled for pancreatic resection. Prevention of this complication involves the correction of glycemic level and treatment of concomitant pathology in patients in the preoperative period.

Increased Incidence of Pancreatic Fistulas after the Introduction of a Bioabsorbable Staple Line Reinforcement in Distal Pancreatic Resections

2009 ◽  
Vol 75 (10) ◽  
pp. 954-957 ◽  
Author(s):  
Eduardo A. Guzman ◽  
Rebecca A Nelson ◽  
Joseph Kim ◽  
Alessio Pigazzi ◽  
Vijay Trisal ◽  
...  
Keyword(s):  
Pancreatic Fistula ◽  
Pancreatic Resection ◽  
Staple Line ◽  
Parenchymal Transection ◽  
Staple Line Reinforcement ◽  
Distal Pancreatic Resection ◽  
Pancreatic Resections ◽  
Clinicopathologic Factors ◽  
Pancreatic Fistulas ◽  
Definition Of

Pancreatic fistula is a major cause of morbidity after distal pancreatic resection. When resections are performed with linear stapling devices, the use of bioabsorbable staple line reinforcement has been suggested to decrease the rate of pancreatic fistula. Our objective was to investigate the incidence of pancreatic fistula when using the Gore Seamguard® staple line reinforcement in stapled distal pancreatic resections. A retrospective review of 30 consecutive patients with stapled distal pancreatectomy was conducted. A broad definition of pancreatic fistula was used. Clinicopathologic factors and outcomes were compared between groups. Pancreatic fistula was diagnosed in 11 of 15 patients (73%) and three of 15 patients (20%) in the Seamguard® and non-Seamguard® groups, respectively ( P = 0.002). Pancreatic parenchymal transection at the neck of the gland was associated with pancreatic fistula, whereas laparoscopic procedures, splenic preservation, or additional organ resection were not. On multivariate analysis, the association between Seamguard® use and pancreatic fistula was significant ( P = 0.005). In conclusion, after introduction of the Gore Seamguard® bioabsorbable staple line reinforcement, we experienced a significant increase in the rate of pancreatic fistula. This experience raises concern about the efficacy of this device in limiting pancreatic fistula after stapled distal pancreatic resection.

Laparoscopic distal pancreatic resection: Is there a learning curve?

Pancreatology ◽  
2012 ◽  
Vol 12 (6) ◽  
pp. 531
Author(s):  
Safi Dokmak ◽  
Béatrice Aussilhou ◽  
Fadhel Samir Ftériche ◽  
Benjamin Blanc ◽  
Philippe Lévy ◽  
...  
Keyword(s):  
Learning Curve ◽  
Pancreatic Resection ◽  
Distal Pancreatic Resection

scholarly journals Roux-en-Y Drainage of the Pancreatic Stump Decreases Pancreatic Fistula After Distal Pancreatic Resection

2007 ◽  
Vol 11 (3) ◽  
pp. 303-308 ◽  
Author(s):  
M. Wagner ◽  
B. Gloor ◽  
M. Ambühl ◽  
M. Worni ◽  
J. A. Lutz ◽  
...  
Keyword(s):  
Pancreatic Fistula ◽  
Pancreatic Resection ◽  
Distal Pancreatic Resection ◽  
Pancreatic Stump

scholarly journals Distal Pancreatic Resection for Neuroendocrine Tumors: Is Laparoscopic Really Better than Open?

2015 ◽  
Vol 19 (5) ◽  
pp. 831-840 ◽  
Author(s):  
Dimitrios Xourafas ◽  
Ali Tavakkoli ◽  
Thomas E. Clancy ◽  
Stanley W. Ashley
Keyword(s):  
Neuroendocrine Tumors ◽  
Pancreatic Resection ◽  
Distal Pancreatic Resection ◽  
Better Than

Auto stapler system (Echelon 60) is useful for distal pancreatic resection

Pancreatology ◽  
2013 ◽  
Vol 13 (4) ◽  
pp. S68
Author(s):  
Takayuki Shimizu ◽  
Mitsugi Shimoda ◽  
Keiichi Kubota
Keyword(s):  
Pancreatic Resection ◽  
Distal Pancreatic Resection

scholarly journals Disturbances of carbohydrate metabolism and postoperative complications after distal pancreatic resection

2020 ◽  
Vol 37 (3) ◽  
pp. 33-39
Author(s):  
V. N. Barykov ◽  
A. G. Istomin ◽  
N. V. Markina ◽  
V. L. Tyulganova
Keyword(s):  
Diabetes Mellitus ◽  
Postoperative Complications ◽  
Carbohydrate Metabolism ◽  
Pancreatic Resection ◽  
Abdominal Cavity ◽  
The Body ◽  
Total Risk ◽  
Distal Pancreatic Resection ◽  
Before And After ◽  
Patients With Diabetes

Objective. To study the state of carbohydrate metabolism in patients after distal pancreatic resection and its effect on the development of postoperative complications. Materials and methods. Over 10 years, 47 patients have been operated on with various tumors of the body/tail of the pancreas and complications of chronic pancreatitis. In 16 of them, concomitant diabetes mellitus was diagnosed before surgery, and in 31 patients, carbohydrate metabolism was normal. Results. After surgery, from a group of patients with unchanged carbohydrate metabolism, 8 (25.8 %) developed diabetes mellitus. The following postoperative complications pancreatic fistula, inflammatory infiltrates and "fluid leakages in the abdominal cavity occurred in 68 % of cases. Out of 24 patients with diabetes mellitus, complications were registered in 21 (87.5 %) and of 23 diabetes-free patients in 11 (47.8 %). Conclusions. The total risk for the development of the postoperative abdominal complications after the distal resection in patients with diabetes mellitus, diagnosed before and after the intervention, is 7.6 times higher than in patients without diabetes.

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