Ligamentum teres hepatis patch enhances the healing of pancreatic fistula after distal pancreatectomy

Pancreatic fistula is one of the most common complications after the distal pancreatectomy.Many methods have been tried to solve the problem,but no one is optimal,especially for the soft pancreatic stump cases.This study used ligamentum teres hepatis as a patch to cover the pancreatic stump.Between...

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Bibliographic Details
Published in:Hepatobiliary & pancreatic diseases international 2013-12, Vol.12 (6), p.651-655
Main Authors: Wu, Chun-Tao, Xu, Wen-Yan, Liu, Liang, Long, Jiang, Xu, Jin, Ni, Quan-Xing, Liu, Chen, Yu, Xian-Jun
Format: Article
Language:English
Subjects:
Adult
Aged
complications
distal
distal pancreatectomy
Endocrinology & Metabolism
Female
fistula
Gastroenterology and Hepatology
Humans
Ligaments - transplantation
Ligation
Male
Middle Aged
Pancreas - surgery
pancreatectomy
Pancreatectomy - adverse effects
pancreatic
Pancreatic Ducts - surgery
pancreatic fistula
Pancreatic Fistula - etiology
Pancreatic Fistula - surgery
Pancreatic Neoplasms - surgery
Retrospective Studies
Suture Techniques
Time Factors
Transplants
Treatment Outcome
Wound Healing
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Summary:Pancreatic fistula is one of the most common complications after the distal pancreatectomy.Many methods have been tried to solve the problem,but no one is optimal,especially for the soft pancreatic stump cases.This study used ligamentum teres hepatis as a patch to cover the pancreatic stump.Between October 2010 and December 2012,seventyseven patients who had undergone distal pancreatectomy with a soft pancreatic stump were divided into two groups:group A(n=39,patients received conventional ligated main pancreatic duct method)and group B(n=38,patients underwent a coverage procedure).Patients in group A had a longer recovery from postoperative pancreatic fistula than those in group B(16.4±3.5 vs 10.8±1.6 days,P<0.05).The coverage procedure with ligamentum teres hepatis is a safe,effective and convenient method for patients with a soft pancreas remnant during distal pancreatectomy.
ISSN:1499-3872
DOI:10.1016/S1499-3872(13)60102-2