We found a match
Your institution may have rights to this item. Sign in to continue.
- Title
Complete REtraction of the StomaCh using pEnrose draiN and liver reTractor (CRESCENT) during laparoscopic distal pancreatectomy.
- Authors
Hirono, Seiko; Hayata, Keiji; Kawai, Manabu; Okada, Ken-ichi; Miyazawa, Motoki; Kitahata, Yuji; Kobayashi, Ryohei; Hayami, Shinya; Ueno, Masaki; Yamaue, Hiroki
- Abstract
Purpose: Laparoscopic distal pancreatectomy (LDP) is a well-accepted procedure for benign and malignant diseases of the pancreatic body and/or tail. To perform it safely, a wide operative field is crucial. For the maintenance of a good surgical field during LDP, we developed an original technique for stomach retraction: "Complete REtraction of the StomaCh using pEnrose draiN and liver reTractor, CRESCENT." Methods: In CRESCENT technique, the body and antrum of the stomach are suspended by two Penrose drains, and the fundus and/or upper body of the stomach are retracted upward using a liver retractor. After complete retraction, the stomach is well attached to the abdominal wall and forms a crescent-like shape. Before we developed the CRESCENT technique, we pulled the antrum of the stomach laterally by suture and hanged the body of the stomach upward using a Penrose drain (control method). We evaluated perioperative outcomes of the 87 consecutive patients who underwent LDP and compared outcomes of CRESCENT technique (n = 24) and previously used technique as a control (n = 63). Results: Operative time was significantly shorter in the CRESCENT technique than in control method (median, 234 vs. 303 min, P < 0.001). We found no significant differences in incidences of overall morbidity (16.7 vs. 20.6%, P = 0.677), including grade B/C postoperative pancreatic fistula (8.3 vs. 7.9%, P = 0.455), between CRESCENT technique and control method. There was no mortality by either method. Conclusions: Our original technique, CRESCENT, is a simple procedure in which the stomach is completely retracted during LDP.
- Subjects
RETRACTORS (Surgery); PANCREATECTOMY; STOMACH; ABDOMINAL wall; PANCREATIC fistula; LIVER; LAPAROSCOPIC surgery
- Publication
Langenbeck's Archives of Surgery, 2020, Vol 405, Issue 8, p1243
- ISSN
1435-2443
- Publication type
Article
- DOI
10.1007/s00423-020-01929-5