Langenbeck's archives of surgery · 2023
New method of remnant closure during distal pancreatectomy.
СтатьяНазвание и аннотация: Перевод пока не подготовлен
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История · было → стало
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Kelemen D, Kerbeche A, Farkas N, Vereczkei A
Аннотация
PURPOSE: Pancreatic fistula following distal pancreatectomies still remains a relevant problem. The present study describes our first series with a new method of pancreatic remnant closure.
METHODS: A free fascia-peritoneum graft - harvested from the internal rectus sheet - was fixed onto the pancreatic stump by one circular stitch. The method was applied in 18 cases.
RESULTS: The postoperative hospital stay was 8 days in average. No clinically relevant postoperative pancreatic fistula (CR-POPF) developed. The morbidity rate was 39%, mostly Clavien-Dindo Grade II types. There was no reoperation or mortality.
CONCLUSION: The first series showed advantageous results with our method. Certainly, further studies are needed for the evaluation of this new and promising technique.
METHODS: A free fascia-peritoneum graft - harvested from the internal rectus sheet - was fixed onto the pancreatic stump by one circular stitch. The method was applied in 18 cases.
RESULTS: The postoperative hospital stay was 8 days in average. No clinically relevant postoperative pancreatic fistula (CR-POPF) developed. The morbidity rate was 39%, mostly Clavien-Dindo Grade II types. There was no reoperation or mortality.
CONCLUSION: The first series showed advantageous results with our method. Certainly, further studies are needed for the evaluation of this new and promising technique.