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

作　　者：Chun-Tao Wu Wen-Yan Xu Liang Liu Jiang Long Jin Xu Quan-Xing Ni Chen Liu Xian-Jun Yu 

机构地区：[1]Pancreatic Cancer Institute,Fudan University [2]Department of Pancreatic and Hepatobiliary Surgery,Fudan University Shanghai Cancer Center [3]Department of Oncology,Shanghai Medical College,Fudan University

出　　处：《Hepatobiliary & Pancreatic Diseases International》2013年第6期651-655,共5页国际肝胆胰疾病杂志（英文版）

基　　金：supported by grants from the National Natural Science Foundation of China(81001058,81172276 and 81172005);National Natural Science Foundation of Shanghai(11ZR1407000);PhD Programs Foundation of Ministry of Education of China(20110071120096)

摘　　要：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.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.

关 键 词：distal pancreatectomy pancreatic fistula COMPLICATIONS 

分 类 号：R735.9[医药卫生—肿瘤]