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Clip on Staple Method Reduces Clinically Relevant Pancreatic Fistula After Distal Pancreatectomy.

Authors
  • Ninomiya, Mizuki1
  • Tomino, Takahiro2
  • Matono, Rumi2
  • Motomura, Takashi3
  • Uchiyama, Hideaki3
  • Nishizaki, Takashi2
  • 1 Department of Surgery, Matsuyama Red Cross Hospital, Ehime, Japan [email protected] , (Japan)
  • 2 Department of Surgery, Matsuyama Red Cross Hospital, Ehime, Japan. , (Japan)
  • 3 Department of Surgery, Saiseikai Fukuoka General Hospital, Fukuoka, Japan. , (Japan)
Type
Published Article
Journal
Anticancer Research
Publisher
International Institute of Anticancer Research
Publication Date
Dec 01, 2019
Volume
39
Issue
12
Pages
6799–6806
Identifiers
DOI: 10.21873/anticanres.13895
PMID: 31810945
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

In order to overcome postoperative pancreatic fistula (POPF) after distal pancreatectomy (DP), we have developed a new simple technique-Clip on Staple method. In Clip on Staple method, pancreatic parenchyma was divided using a stapling device with a stepped-height staple design to make linear compression line, and thereafter, the full length of the staple line was reinforced by multiple clips. Clinical outcomes were retrospectively compared between Clip on Staple group (n=23) and Non-Clip group (n=38). The incidence of clinically relevant POPF (CR-POPF) was significantly lower in the Clip on Staple group than in the Non-Clip group (4.3 and 36.8%, p=0.005). Multivariate logistic regression analysis revealed that only Clip on Staple method was an independent predictive factor of a decrease in the occurrence of CR-POPF. The Clip on Staple method, a simple and easily applicable technique even in laparoscopic surgery, significantly reduced the occurrence of CR-POPF among patients undergoing DP. Copyright© 2019, International Institute of Anticancer Research (Dr. George J. Delinasios), All rights reserved.

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