PURPOSE: To evaluate the effectiveness of using soft coagulation followed by the application of polyglycolic acid (PGA) felt and fibrin glue to prevent pancreatic fistula (PF) after distal pancreatectomy (DP). METHODS: A soft coagulation system was applied on the cut surface of the pancreas after ligating the main pancreatic duct, followed by the application of layers of PGA felt and fibrin glue on the layers, to prevent the development of a PF after DP. RESULTS: This technique was applied in nine patients, with mean drain amylase levels of 372 ± 296, 185 ± 209, 54 ± 40, and 47 ± 34 IU/l on days 1, 3, 5, and 7, respectively, after DP. Only one patient (11.1%) showed a Grade A PF on day 3 after surgery; none of the other patients developed a fistula. CONCLUSIONS: This technique is an effective prophylactic measure to prevent the development of a PF after DP.
PURPOSE: To evaluate the effectiveness of using soft coagulation followed by the application of polyglycolic acid (PGA) felt and fibrin glue to prevent pancreatic fistula (PF) after distal pancreatectomy (DP). METHODS: A soft coagulation system was applied on the cut surface of the pancreas after ligating the main pancreatic duct, followed by the application of layers of PGA felt and fibrin glue on the layers, to prevent the development of a PF after DP. RESULTS: This technique was applied in nine patients, with mean drain amylase levels of 372 ± 296, 185 ± 209, 54 ± 40, and 47 ± 34 IU/l on days 1, 3, 5, and 7, respectively, after DP. Only one patient (11.1%) showed a Grade A PF on day 3 after surgery; none of the other patients developed a fistula. CONCLUSIONS: This technique is an effective prophylactic measure to prevent the development of a PF after DP.
Authors: Cristina R Ferrone; Andrew L Warshaw; David W Rattner; David Berger; Hui Zheng; Bhupendra Rawal; Ruben Rodriguez; Sarah P Thayer; Carlos Fernandez-del Castillo Journal: J Gastrointest Surg Date: 2008-08-13 Impact factor: 3.452
Authors: Yael Vin; Camelia S Sima; George I Getrajdman; Karen T Brown; Anne Covey; Murray F Brennan; Peter J Allen Journal: J Am Coll Surg Date: 2008-06-30 Impact factor: 6.113
Authors: Jörg Kleeff; Markus K Diener; Kaspar Z'graggen; Ulf Hinz; Markus Wagner; Jeannine Bachmann; Jörg Zehetner; Michael W Müller; Helmut Friess; Markus W Büchler Journal: Ann Surg Date: 2007-04 Impact factor: 12.969