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Surgery Today
Published in: Surgery Today 6/2013

01-06-2013 | Review Article

The management of a remnant pancreatic stump for preventing the development of postoperative pancreatic fistulas after distal pancreatectomy: current evidence and our strategy

Authors: Isamu Makino, Hirohisa Kitagawa, Hisatoshi Nakagawara, Hidehiro Tajima, Itasu Ninomiya, Sachio Fushida, Takashi Fujimura, Tetsuo Ohta

Published in: Surgery Today | Issue 6/2013

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Abstract

Distal pancreatectomy (DP) is the most common surgical procedure for treating benign and malignant lesions in the body or tail of the pancreas. Although the mortality rate related to DP has recently been reduced, the postoperative morbidity remains high. The most frequent and dismal complication occurring after DP is the development of postoperative pancreatic fistulas (POPF). Several resection methods and closure techniques for treating remnant pancreas have been developed in an effort to reduce the incidence of complications, especially POPF. However, the optimal procedure has not yet been established. In this review, we summarize the current clinical data and evidence for surgical techniques and perioperative management strategies for preventing POPF after DP. Finally, we introduce our non-closure technique for managing remnant pancreatic stumps.
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Metadata
Title
The management of a remnant pancreatic stump for preventing the development of postoperative pancreatic fistulas after distal pancreatectomy: current evidence and our strategy
Authors
Isamu Makino
Hirohisa Kitagawa
Hisatoshi Nakagawara
Hidehiro Tajima
Itasu Ninomiya
Sachio Fushida
Takashi Fujimura
Tetsuo Ohta
Publication date
01-06-2013
Publisher
Springer Japan
Published in
Surgery Today / Issue 6/2013
Print ISSN: 0941-1291
Electronic ISSN: 1436-2813
DOI
https://doi.org/10.1007/s00595-012-0370-y

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