Ethibloc-Occlusion for Prevention of Pancreatic Fistula After Distal Pancreatectomy

Itoh, T; Idezuki, Yasuo; Konishi, Toshiro; Shibayama, Kazuo; Takami, Makoto; Shimada, Kazuaki; Nomura, Yuji; Shimomura, Kazuyuki; Ishizaki, Yoichi

doi:10.3919/ringe1963.50.1526

Cited by 2 publications

(1 citation statement)

References 4 publications

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“…Steps to take to pre vent occurrence of pancreatic fistula are extremely accu rate ligature of pancreatic duct and sutured closure of the pancreatic stump using nylon thread, but not too tightly. In order to prevent the complication of pancreatic fistula, some institutions insert the pancreatic stump into a rub ber tube and let the pancreatic juice drain outside the body [10], Others have attempted to instill resinoid (pro lamine) into the pancreatic stump to prevent leakage of the pancreatic juice [11]. Regardless of the method, it is extremely important to make sure that any leaking pan creatic juice from the transected stump is drained outside the body.…”

Section: Complications Occurring With Combined Resection O F Other Ormentioning

confidence: 99%

How to Reduce Surgical Complications after Extended Gastric Surgery

Isozaki¹,

Okajima²

1994

Dig Surg

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Complications of extended gastric surgery and their prevention were discussed. To determine the incidence of postoperative complications, 1,114 gastric cancer patients with radical lymph node dissection (D₂ or more) were examined. The postoperative complication rate following total gastrectomy (30.9%) was significantly higher than that following distal gastrectomy (14.6%). In total gastrectomy cases, the rate of postoperative complications in D₄ dissection cases (50.0%) was significantly higher than in D₂ (29.8%) and D₃ (22.4%) dissection cases. Moreover, the more extensive the combined resection, the greater the incidence of postoperative complications, anastomotic insufficiency and operative mortality. Concerning the complications accompanying lymph node dissection, hepatic dysfunction due to damage of the proper hepatic artery (2 cases), bile leakage (7 cases) and jaundice (1 case) due to damage to the biliary tract were seen. Ascites due to lymphorrhea following extended lymphadenectomy was recognized in 9 cases. The greatest cause of death was major leakage, the second was septicemia, the third was pneumonia and the fourth was intra-abdominal bleeding. For the prevention of these complications, in addition to meticulous attention to the pre-/postoperative management, careful operative manipulation to avoid damage to main abdominal blood vessels, lymph leakage, anastomotic leakage and pancreatic fistula is necessary.

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Section: Complications Occurring With Combined Resection O F Other Ormentioning

confidence: 99%

How to Reduce Surgical Complications after Extended Gastric Surgery

Isozaki¹,

Okajima²

1994

Dig Surg

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Use of Sealants in Pancreatic Surgery: Critical Appraisal of the Literature

et al. 2009

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Background/Aims: Fibrin sealants containing both fibrin and thrombin have been used to control bleeding, reinforce suture lines and enhance tissue healing. However, the literature provides contradictory results. Methods: A systematic literature search was performed to determine the use of fibrin sealants in pancreatic surgery. These articles were then critically appraised according to their methodologies, outcomes and conclusions. Results: Twenty-four studies were found, including 6 controlled randomized trials. Of these, 16 studies were analyzed. Many methodological flaws and lack of consistency in definitions were found, making comparisons between studies difficult if not impossible. Conclusion: Because of the heterogeneity and lack of high-level evidence, the current literature does not allow us any conclusion: neither is there proof that fibrin sealants are of any real utility in pancreatic surgery, nor that they do not work. Further large-scale controlled trials are necessary before concluding that they do or do not provide any advantages in pancreatic surgery.

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Ethibloc-Occlusion for Prevention of Pancreatic Fistula After Distal Pancreatectomy

Cited by 2 publications

References 4 publications

How to Reduce Surgical Complications after Extended Gastric Surgery

How to Reduce Surgical Complications after Extended Gastric Surgery

Use of Sealants in Pancreatic Surgery: Critical Appraisal of the Literature

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