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- Title
Risk factors of postoperative pancreatic fistula after distal pancreatectomy using a triple-row stapler.
- Authors
Kawaida, Hiromichi; Kono, Hiroshi; Watanabe, Mitsuaki; Hosomura, Naohiro; Amemiya, Hidetake; Fujii, Hideki
- Abstract
Purpose: Postoperative pancreatic fistula (POPF) is one of the major complications in patients who undergo distal pancreatectomy (DP). Recently, dividing the pancreas by stapler is a commonly performed technique, however, POPF still occurs. Therefore, the purpose of this study was to investigate the risk factors for POPF after DP using a triple-row stapler. Methods: A total of 75 patients underwent DP using a triple-row stapler (Endo GIA™ Reloads with Tri-Staple™ Technology 60 mm; COVIDIEN, North Haven, CT, USA) at Yamanashi University from December 2012 to December 2016. The clinical risk factors for POPF after DP using a triple-row stapler were identified based on univariate and multivariate analyses. Results: Clinical POPF (ISGPF Grade B and C) was seen in 7 of 75 patients (9.3%). The body mass index (BMI) was significantly higher in the patients with POPF (26.8 ± 0.5 kg/m) compared with the patients without POPF (21.4 ± 0.4 kg/m; a cut-off value; 25.7 kg/m). In addition, the patients with POPF were significantly younger than the patients without POPF (56.4 ± 5.6 vs 67.0 ± 1.5; a cut-off value was 57.0 years old). Conclusions: BMI and age were found to be significant risk factors for POPF after DP using a triple-row stapler.
- Subjects
PANCREATECTOMY; PANCREATIC fistula; STAPLERS (Surgery); SURGICAL complications; BODY mass index; PATIENTS; DISEASE risk factors
- Publication
Surgery Today, 2018, Vol 48, Issue 1, p95
- ISSN
0941-1291
- Publication type
Article
- DOI
10.1007/s00595-017-1554-2