Efficacy of the slow firing method using a reinforced triple-row stapler for preventing postoperative pancreatic fistula during laparoscopic distal pancreatectomy.
Adolescent
Adult
Aged
Aged, 80 and over
Female
Glycosides
Humans
Laparoscopy
/ methods
Male
Middle Aged
Operative Time
Pancreatectomy
/ methods
Pancreatic Fistula
/ prevention & control
Postoperative Complications
/ prevention & control
Pregnanes
Risk Factors
Safety
Surgical Staplers
Surgical Stapling
/ instrumentation
Treatment Outcome
Young Adult
Clinically relevant postoperative pancreatic fistula
Laparoscopic distal pancreatectomy
Postoperative pancreatic fistula
Reinforced stapler
Slow firing method
Journal
Surgery today
ISSN: 1436-2813
Titre abrégé: Surg Today
Pays: Japan
ID NLM: 9204360
Informations de publication
Date de publication:
Feb 2022
Feb 2022
Historique:
received:
09
03
2021
accepted:
07
05
2021
pubmed:
30
7
2021
medline:
2
2
2022
entrez:
29
7
2021
Statut:
ppublish
Résumé
Postoperative pancreatic fistula (POPF) remains the most clinically relevant complication of laparoscopic distal pancreatectomy (LDP). The present study evaluated the efficacy of the "slow firing method" using a reinforced triple-row stapler (Covidien, Tokyo, Japan) during LDP. This retrospective single-center study included 73 consecutive patients who underwent LDP using the slow firing method. A black cartridge was used in all patients. The primary endpoint was the rate of clinically relevant POPF (CR-POPF) after LDP. Secondary endpoints included perioperative outcomes and factors associated with CR-POPF as well as the correlation between the transection time and thickness of the pancreas. Four patients (5.5%) developed CR-POPF (grade B). Overall morbidity rates, defined as grade ≥ II and ≥ III according to the Clavien-Dindo classification, were 21 and 11%, respectively. The median postoperative hospital stay was 10 days. Preoperative diabetes (13.6 vs. 0.2%, P = 0.044) and thickness of the pancreas ≥ 15 mm (13.8% vs. 0%, P = 0.006) were identified as independent risk factors for CR-POPF. The median transection time was 16 (8-29) min. The slow firing method using a reinforced triple-row stapler for pancreatic transection is simple, safe, and effective for preventing CR-POPF after LDP.
Identifiants
pubmed: 34322726
doi: 10.1007/s00595-021-02344-z
pii: 10.1007/s00595-021-02344-z
doi:
Substances chimiques
Glycosides
0
Pregnanes
0
retrospinoside
0
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
260-267Informations de copyright
© 2021. Springer Nature Singapore Pte Ltd.
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