Effect of pre-firing compression on the prevention of pancreatic fistula in distal pancreatectomy
Effect of pre-firing compression on the prevention of pancreatic fistula in distal pancreatectomy
复制标题
DOI：
10.1016/j.amjsurg.2018.03.023
复制
发表时间：
2018-09-01
影响因子：
3
通讯作者：
Inomata, Masafumi
中科院分区：
文献类型：
--
作者：
Hirashita, Teijiro;Ohta, Masayuki;Inomata, Masafumi
背景：术后胰瘘（POPF）是胰体尾切除术（DP）的主要并发症。已经提出了几种胰腺切除和闭合的手术方法;然而，POPF的发生率仍然很高。本研究的目的是调查围手术期因素与POPF之间的关系，并阐明DR中胰腺预击发压缩的优势。患者和方法：从2008年至2016年，回顾性分析了75例接受DP的患者的记录。结果：单因素分析显示，体重指数、胰腺厚度和预击发压力与临床相关POPF显著相关。多因素分析显示，预击发压迫是临床相关POPF的独立影响因素（OR = 44.31，95%CI = 3.394-578.3，P = 0.004）。(C)2018爱思唯尔公司All rights reserved.
Background: Postoperative pancreatic fistula (POPF) is a major complication of distal pancreatectomy (DP). Several procedures for resection and closure of the pancreas have been proposed; however, the rate of POPF remains high. The aims of this study were to investigate the relationship between perioperative factors and POPF and to clarify the advantages of pre-firing compression of the pancreas in the DR.Patients and method: From 2008 to 2016, records of 75 patients who underwent DP were retrospectively reviewed. The relationship between the perioperative factors and clinically relevant POPF was investigated.Results: Univariate analysis showed that body mass index, thickness of the pancreas, and pre-firing compression were significantly related with clinically relevant POPF. Multivariate analysis showed that the pre-firing compression was an independent factor of clinically relevant POPF (OR = 44.31, 95% CI = 3.394-578.3, P = 0.004).Conclusions: Pre-firing compression of the pancreas can prevent clinically relevant POPF in DP. (C) 2018 Elsevier Inc. All rights reserved.