Methods of preventing the occurrence of postoperative complications in patients with pancreaticoduodenectomy

Pererva, L.; Kopchak, V.; Marchegiani, Giovanni; Kopchak, Kostiantyn

doi:10.23736/s2724-5691.21.08397-0

Cited by 4 publications

(3 citation statements)

References 20 publications

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Section: Introductionmentioning

confidence: 99%

“…To reduce the incidence of POPF, surgeons have adopted [9] improved reconstruction methods (pancreatic stomach and pancreatic jejunum anastomoses), [10] anastomosis techniques (catheter-mucosa and intrapped anastomoses), [11] the use of stents (external or internal stents), and [12,13] somatostatin and its analogs, and have achieved certain curative effects. [14,15] Placement of stent in pancreaticojejunostomy (PJ) for internal or external drainage of pancreatic fluid can effectively prevent pancreatic fluid corrosion during anastomosis and reduce the incidence of POPF. [16,17] Internal drainage can prevent digestive fluid loss and maintain gastrointestinal function stability, but there are problems such as early pancreatic juice reflux and poor observation of drainage.…”

Section: Introductionmentioning

confidence: 99%

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Application of split pancreatic duct stent in laparoscopic pancreaticoduodenectomy

Huang

et al. 2023

Medicine

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Laparoscopic pancreaticoduodenectomy (LPD) is a classic surgical method for diseases, such as tumors at the lower end of the common bile duct, pancreatic head, and benign and malignant tumors of the duodenum. Postoperative pancreatic fistula (POPF) is one of the most serious complications of LPD. To reduce the incidence of grade B or C POPF and other complications after LPD, we applied a split pancreatic duct stent combined with the characteristics of internal and external stent drainage. Between September 2020 and September 2022,12 patients underwent placement of the Split pancreatic duct stent during LPD. Data on basic characteristics of patients, surgical related indicators and postoperative POPF incidence were collected and analyzed. The results showed that the average operation time was 294.2 ± 36 minutes, average time for pancreaticojejunostomy was 35.9 ± 4.1 minutes, and average estimated blood loss was 204.2 ± 58.2 mL. Biochemical leakage occurred in 2 patients (16.7%), whereas no grade B or C POPF, 1 case (8.3%) had postoperative bleeding, and no death occurred within 30 days after the operation. Preliminary experience shows that the split pancreatic duct stent can effectively reduce the incidence of complications after LPD, especially grade B or C POPF.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Application of split pancreatic duct stent in laparoscopic pancreaticoduodenectomy

Huang

et al. 2023

Medicine

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“…Placement of stent in pancreaticojejunostomy (PJ) for internal or external drainage of pancreatic uid can effectively prevent pancreatic uid corrosion during anastomosis and reduce the incidence of POPF [9,10]. Internal drainage can prevent digestive uid loss and maintain gastrointestinal function stability.…”

Section: Introductionmentioning

confidence: 99%

Application of split pancreatic drainage tube in laparoscopic pancreaticoduodenectomy

Huang

et al. 2022

Preprint

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Background Laparoscopic pancreaticoduodenectomy (LPD) is a classic surgical method for diseases, such as tumors at the lower end of the common bile duct, pancreatic head, and benign and malignant tumors of the duodenum. Postoperative pancreatic fistula (POPF) is one of the most serious complications of LPD. In this study, we introduced a separate stent drainage method to reduce the occurrence of grade B or C POPF and its related complications. Methods To reduce the incidence of grade B or C POPF and other complications after LPD, we applied a split pancreatic drainage tube combined with the characteristics of internal and external stent drainage. Between January 2018 and May 2022, 12 patients underwent placement of the split pancreatic drainage tube during LPD.Data on operation time, duration of pancreaticojejunostomy (PJ), intraoperative blood loss, first postoperative exhaust time, postoperative hospital stay, incidence of POPF and other complications were collected and analyzed. Results The average operation time was 280 ± 42 min, average time for PJ was 35 ± 6 min, and average estimated blood loss was 200 ± 40 mL. Biochemical leakage occurred in two patients (16.7%), whereas no grade B or C POPF, other related complications, and deaths occurred within 30 days after the operation. Conclusion Split pancreatic drainage tube effectively converts external stent drainage into internal stent drainage. It fully combines internal and external drainage characteristics, effectively reduces the incidence of postoperative POPF and other related complications of grade B or C, and provides a new choice for clinicians to make decisions.

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COVID-19 and surgery

DEZZANI¹

2022

Chirurgia

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Methods of preventing the occurrence of postoperative complications in patients with pancreaticoduodenectomy

Cited by 4 publications

References 20 publications

Application of split pancreatic duct stent in laparoscopic pancreaticoduodenectomy

Application of split pancreatic duct stent in laparoscopic pancreaticoduodenectomy

Application of split pancreatic drainage tube in laparoscopic pancreaticoduodenectomy

COVID-19 and surgery

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