Surgical techniques and postoperative management to prevent postoperative pancreatic fistula after pancreatic surgery.
Drainage
/ methods
Humans
Laparoscopy
/ adverse effects
Pancreas
/ drug effects
Pancreatectomy
/ adverse effects
Pancreatic Fistula
/ epidemiology
Pancreatic Juice
/ drug effects
Pancreatic Neoplasms
/ surgery
Pancreaticoduodenectomy
/ adverse effects
Pancreaticojejunostomy
/ adverse effects
Postoperative Care
/ methods
Postoperative Complications
/ epidemiology
Risk Factors
Robotic Surgical Procedures
/ adverse effects
Somatostatin
/ analogs & derivatives
Stents
/ adverse effects
Treatment Outcome
Distal pancreatectomy
Pancreaticoduodenectomy
Pancreatogastrostomy
Pancreatojejunostomy
Postoperative pancreatic fistula
Prophylactic drainage
Somatostatin analogs
Journal
World journal of gastroenterology
ISSN: 2219-2840
Titre abrégé: World J Gastroenterol
Pays: United States
ID NLM: 100883448
Informations de publication
Date de publication:
28 Jul 2019
28 Jul 2019
Historique:
received:
20
03
2019
revised:
20
06
2019
accepted:
25
06
2019
entrez:
9
8
2019
pubmed:
9
8
2019
medline:
15
2
2020
Statut:
ppublish
Résumé
Postoperative pancreatic fistula (POPF) is one of the most severe complications after pancreatic surgeries. POPF develops as a consequence of pancreatic juice leakage from a surgically exfoliated surface and/or anastomotic stump, which sometimes cause intraperitoneal abscesses and subsequent lethal hemorrhage. In recent years, various surgical and perioperative attempts have been examined to reduce the incidence of POPF. We reviewed several well-designed studies addressing POPF-related factors, such as reconstruction methods, anastomotic techniques, stent usage, prophylactic intra-abdominal drainage, and somatostatin analogs, after pancreaticoduodenectomy and distal pancreatectomy, and we assessed the current status of POPF. In addition, we also discussed the current status of POPF in minimally invasive surgeries, laparoscopic surgeries, and robotic surgeries.
Identifiants
pubmed: 31391768
doi: 10.3748/wjg.v25.i28.3722
pmc: PMC6676555
doi:
Substances chimiques
Somatostatin
51110-01-1
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
3722-3737Déclaration de conflit d'intérêts
Conflict-of-interest statement: No potential conflict of interest. No financial support.
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