Complication analysis of distal pancreatectomy based on early personal experience

Sung-Jin Park; Hyung-Il Seo; Soo-Hee Go; Sung-Pil Yun; Ji-Yeon Lee

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자료유형: 학술저널

저자정보: Sung-Jin Park (Pusan National University, Postgraduate School of Medicine) Hyung-Il Seo (Pusan National University, Postgraduate School of Medicine) Soo-Hee Go (Pusan National University, Postgraduate School of Medicine) Sung-Pil Yun (Pusan National University, Postgraduate School of Medicine) Ji-Yeon Lee (Pusan National University, Postgraduate School of Medicine)

저널정보: 한국간담췌외과학회 Annals of Hepato-Biliary-Pancreatic Surgery 한국간담췌외과학회지 제15권 제4호

발행연도: 2011.12

수록면: 243 - 247 (5page)

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Backgrounds/Aims: The objective of this study was to evaluate the relationship between initial personal experiences with distal pancreatectomy and perioperative risk factors, outcomes, and management of pancreatic fistulas. Methods: Between May, 2007 and May, 2010, a total of 28 patients who had undergone elective distal pancreatectomy were evaluated for this study. Perioperative factors and the occurrence of pancreatic fistula were analyzed on the basis of International Study Group of Pancreatic Fistula (ISGPF) criteria. Results: There were sixteen cases of benign neoplasms and twelve cases of malignant tumors. The remnant pancreas was manually sutured with ligation of the pancreatic duct (n=14), auto-suture stapling along with manual sutures (n=12), or stapling alone (n=2). According to the ISGPF classification, morbidity and mortality associated with pancreatic fistulas was 42.9% (n=12) and 0%, respectively. These pancreatic fistulae were classified as grade A in 8 cases (28.6%), grade B in 3 cases (10.7%), and grade C in one case (3.6%). All patients with pancreatic fistula were treated conservatively. Conclusions: Perioperative factors do not affect the risk of pancreatic fistula. Adequate drainage is the most effective method for management of a pancreatic fistula after distal pancreatectomy. (Korean J Hepatobiliary Pancreat Surg 2011;15:243-247)

#Distal pancreatectomy #Pancreatic fistula #Complication #Leak

참고문헌 (22)

참고문헌 신청

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