The effectiveness of fish-mouth suture of pancreatic stump for pancreatic leakage by Shuriken shaped umbilicoplasty method in laparoscopic distal pancreatectomy
EAES Academy. Sato Y. 07/05/22; 363132; P177
CLICK HERE TO LOGIN
REGULAR CONTENT
REGULAR CONTENT
Login now to access Regular content available to all registered users.
Abstract
Discussion Forum (0)
Rate & Comment (0)
Postoperative pancreatic fistula (POPF) following distal pancreatectomy (DP) is a leading contributor to postoperative morbidity & mortality.
Review analysis showed that POPF depend more on underlying patients’ factors than surgical technique. (e.g. obesity, preop nutrition level)
Hence, there is no convincing evidence to support any one transection & closure technique over another in laparoscopic DP. (AIM) Which is better technique for pancreatic transection&closure; Linear stapler or fish-mouth closure? Regarding pancreatic transection & closure, did fish-mouth closure reduce POPF & inpatient stay compared with Echelon linear stapler? (Patients and Method) This is a case-series report. Through the electronic chart we selected retrospectively the 20 patients who underwent laparoscopic DP between May 2019 to Oct 2021 at our institution. The patients of Transect/w Stapler were 10 cases. The patients of Transect/ fish-mouth closure were 10 cases. (Results) Median age of Stapler group was 64 old. That of fish-mouth group was 69 old. BMI were 21.0(19.2-28.5) and 23.0(18.6-31.1) respectively. Thickness of Pancreas on portal vein was 9.95mm(6.74-14.77) and 10.8mm(7.45-15.5) respectively. The cases of POPF over 5000 of drain amylase were 3 patients and those of fish-mouth were 0. Those of post operative psudocyst were 5 and 0 respectively. Blood loss were 90ml and 100ml respectively. Operation time were 321min and 345min respectively. (Conclusions) It is true that this case-series study enrolled limited number of cases, but fish-mouth closure may decrease the risk of POPF and postop pseudocyst compared to stapler. To show superiority of fish-mouth over stapler, case-control study with more power or prospective study is warranted to control confounding factors.
Review analysis showed that POPF depend more on underlying patients’ factors than surgical technique. (e.g. obesity, preop nutrition level)
Hence, there is no convincing evidence to support any one transection & closure technique over another in laparoscopic DP. (AIM) Which is better technique for pancreatic transection&closure; Linear stapler or fish-mouth closure? Regarding pancreatic transection & closure, did fish-mouth closure reduce POPF & inpatient stay compared with Echelon linear stapler? (Patients and Method) This is a case-series report. Through the electronic chart we selected retrospectively the 20 patients who underwent laparoscopic DP between May 2019 to Oct 2021 at our institution. The patients of Transect/w Stapler were 10 cases. The patients of Transect/ fish-mouth closure were 10 cases. (Results) Median age of Stapler group was 64 old. That of fish-mouth group was 69 old. BMI were 21.0(19.2-28.5) and 23.0(18.6-31.1) respectively. Thickness of Pancreas on portal vein was 9.95mm(6.74-14.77) and 10.8mm(7.45-15.5) respectively. The cases of POPF over 5000 of drain amylase were 3 patients and those of fish-mouth were 0. Those of post operative psudocyst were 5 and 0 respectively. Blood loss were 90ml and 100ml respectively. Operation time were 321min and 345min respectively. (Conclusions) It is true that this case-series study enrolled limited number of cases, but fish-mouth closure may decrease the risk of POPF and postop pseudocyst compared to stapler. To show superiority of fish-mouth over stapler, case-control study with more power or prospective study is warranted to control confounding factors.
Postoperative pancreatic fistula (POPF) following distal pancreatectomy (DP) is a leading contributor to postoperative morbidity & mortality.
Review analysis showed that POPF depend more on underlying patients’ factors than surgical technique. (e.g. obesity, preop nutrition level)
Hence, there is no convincing evidence to support any one transection & closure technique over another in laparoscopic DP. (AIM) Which is better technique for pancreatic transection&closure; Linear stapler or fish-mouth closure? Regarding pancreatic transection & closure, did fish-mouth closure reduce POPF & inpatient stay compared with Echelon linear stapler? (Patients and Method) This is a case-series report. Through the electronic chart we selected retrospectively the 20 patients who underwent laparoscopic DP between May 2019 to Oct 2021 at our institution. The patients of Transect/w Stapler were 10 cases. The patients of Transect/ fish-mouth closure were 10 cases. (Results) Median age of Stapler group was 64 old. That of fish-mouth group was 69 old. BMI were 21.0(19.2-28.5) and 23.0(18.6-31.1) respectively. Thickness of Pancreas on portal vein was 9.95mm(6.74-14.77) and 10.8mm(7.45-15.5) respectively. The cases of POPF over 5000 of drain amylase were 3 patients and those of fish-mouth were 0. Those of post operative psudocyst were 5 and 0 respectively. Blood loss were 90ml and 100ml respectively. Operation time were 321min and 345min respectively. (Conclusions) It is true that this case-series study enrolled limited number of cases, but fish-mouth closure may decrease the risk of POPF and postop pseudocyst compared to stapler. To show superiority of fish-mouth over stapler, case-control study with more power or prospective study is warranted to control confounding factors.
Review analysis showed that POPF depend more on underlying patients’ factors than surgical technique. (e.g. obesity, preop nutrition level)
Hence, there is no convincing evidence to support any one transection & closure technique over another in laparoscopic DP. (AIM) Which is better technique for pancreatic transection&closure; Linear stapler or fish-mouth closure? Regarding pancreatic transection & closure, did fish-mouth closure reduce POPF & inpatient stay compared with Echelon linear stapler? (Patients and Method) This is a case-series report. Through the electronic chart we selected retrospectively the 20 patients who underwent laparoscopic DP between May 2019 to Oct 2021 at our institution. The patients of Transect/w Stapler were 10 cases. The patients of Transect/ fish-mouth closure were 10 cases. (Results) Median age of Stapler group was 64 old. That of fish-mouth group was 69 old. BMI were 21.0(19.2-28.5) and 23.0(18.6-31.1) respectively. Thickness of Pancreas on portal vein was 9.95mm(6.74-14.77) and 10.8mm(7.45-15.5) respectively. The cases of POPF over 5000 of drain amylase were 3 patients and those of fish-mouth were 0. Those of post operative psudocyst were 5 and 0 respectively. Blood loss were 90ml and 100ml respectively. Operation time were 321min and 345min respectively. (Conclusions) It is true that this case-series study enrolled limited number of cases, but fish-mouth closure may decrease the risk of POPF and postop pseudocyst compared to stapler. To show superiority of fish-mouth over stapler, case-control study with more power or prospective study is warranted to control confounding factors.
Code of conduct/disclaimer available in General Terms & Conditions
{{ help_message }}
{{filter}}