Surgical techniques and postoperative management to prevent postoperative pancreatic fistula after pancreatic surgery
Surgical techniques and postoperative management to prevent postoperative pancreatic fistula after pancreatic surgery作者机构：First Department of Surgery Faculty of Medicine University of Yamanashi Yamanashi 409-3898 Japan Department of Surgery Kofu Manicipal Hospital Yamanashi 400-0832 Japan
出 版 物：《World Journal of Gastroenterology》 (世界胃肠病学杂志（英文版）)
年 卷 期：2019年第25卷第28期
页 面：3722-3737页
核心收录：
学科分类：10[医学]
主 题：Postoperative pancreatic fistula Pancreaticoduodenectomy Pancreatojejunostomy Pancreatogastrostomy Distal pancreatectomy Prophylactic drainage Somatostatin analogs
摘 要：Postoperative pancreatic fistula (POPF) is one of the most severe complications after pancreatic surgeries. POPF develops as a consequence of pancreatic juice leakage from a surgically exfoliated surface and/or anastomotic stump, which sometimes cause intraperitoneal abscesses and subsequent lethal hemorrhage. In recent years, various surgical and perioperative attempts have been examined to reduce the incidence of POPF. We reviewed several well-designed studies addressing POPF-related factors, such as reconstruction methods, anastomotic techniques, stent usage, prophylactic intra-abdominal drainage, and somatostatin analogs, after pancreaticoduodenectomy and distal pancreatectomy, and we assessed the current status of POPF. In addition, we also discussed the current status of POPF in minimally invasive surgeries, laparoscopic surgeries, and robotic surgeries.
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