Authors: Toshiya Ochiai Teruhisa Sonoyama Koji Soga Koji Inoue Hisashi Ikoma Atsushi Shiozaki Yoshiaki Kuriu Takeshi Kubota Masayoshi Nakanishi Shojiro Kikuchi Daisuke Ichikawa Hitoshi Fujiwara Chouhei Sakakura Kazuma Okamoto Yukihito Kokuba Eigo Otsuji
Publish Date: 2010/02/23
Volume: 14, Issue: 5, Pages: 884-890
Abstract
From 2000 to 2008 54 and 63 patients underwent pancreaticoduodenectomy PD and distal pancreatectomy DP respectively Of those patients we applied PGA felt with fibrin sealant to 18 PD patients and 26 DP patients In PD patients the PGA felt was wrapped around the pancreatic suture site while in DP patients the PGA felt was wrapped around the predictive division site The pancreaticojejunostomy site in PD patients and the cut stump in DP patients were coated with fibrin sealant We compared the occurrence rates for severe postoperative pancreatic fistula POPF that occurred after PD or DP both with and without our new proceduresBefore introduction of our procedures severe POPF developed in 14 of 36 PD patients 39 and 10 of 37 DP patients 27 In contrast after introduction of our procedures the incidence of POPF was only one in both of 18 PD 6 P = 0016 and 26 DP 4 P = 0017 patients
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