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Soft coagulation, polyglycolic acid felt, and fibrin glue for prevention of pancreatic fistula after distal pancreatectomy

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Abstract

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.

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Authors and Affiliations

  1. Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka, 812-8582, Japan

    Toru Ikegami, Hiroto Kayashima, Tomoharu Yoshizumi, Ken Shirabe & Yoshihiko Maehara

  2. Department of Digestive Surgery, National Kyushu Cancer Center, Fukuoka, Japan

    Toru Ikegami, Takashi Maeda, Eiji Oki, Yoshihisa Sakaguchi & Yasushi Toh

Authors
  1. Toru Ikegami
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  2. Takashi Maeda
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  3. Hiroto Kayashima
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  4. Eiji Oki
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  5. Tomoharu Yoshizumi
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  6. Yoshihisa Sakaguchi
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  7. Yasushi Toh
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  8. Ken Shirabe
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  9. Yoshihiko Maehara
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Ikegami, T., Maeda, T., Kayashima, H. et al. Soft coagulation, polyglycolic acid felt, and fibrin glue for prevention of pancreatic fistula after distal pancreatectomy. Surg Today 41, 1224–1227 (2011). https://doi.org/10.1007/s00595-010-4433-7

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  • DOI: https://doi.org/10.1007/s00595-010-4433-7

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