A drainage strategy for postoperative pancreatic fistula after left-sided pancreatectomy based on the wall status of collected fluid

Kuwatani, Masaki; Imamura, Masafumi; Hayashi, Tsuyoshi; Yoshida, Makoto; Kimura, Yasutoshi; Asano, Toshimichi; Nakamura, Toru; Motoya, Masayo; Yoshida, Makoto; Noji, Takehiro; Okamura, Keisuke; Takahashi, Kuniyuki; Katanuma, Akio; Hirano, Satoshi

A drainage strategy for postoperative pancreatic fistula after left-sided pancreatectomy based on the wall status of collected fluid

Kuwatani, Masaki; Imamura, Masafumi; Hayashi, Tsuyoshi et al.

Langenbeck's archives of surgery, 2021, 406(3), 743-751

Permalink : https://hdl.handle.net/2115/85244

このアイテムのアクセス数:452件（2026-02-12 07:42 集計）

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Langenbecks Arch Surg s00423-020-02067-8	pdf	3.69 MB	340

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アクセス権	open access
URI	https://hdl.handle.net/2115/85244
タイトル	A drainage strategy for postoperative pancreatic fistula after left-sided pancreatectomy based on the wall status of collected fluid
著者	Kuwatani, Masaki ; Imamura, Masafumi ; Hayashi, Tsuyoshi ; Yoshida, Makoto ; Kimura, Yasutoshi ; Asano, Toshimichi ; Nakamura, Toru ; Motoya, Masayo ; Yoshida, Makoto ; Noji, Takehiro ; Okamura, Keisuke ; Takahashi, Kuniyuki ; Katanuma, Akio ; Hirano, Satoshi
e-Rad_Researcher 50431375 著者名 Kuwatani, Masaki
e-Rad_Researcher 00404608 著者名 Imamura, Masafumi
e-Rad_Researcher 60381258 著者名 Hayashi, Tsuyoshi
e-Rad_Researcher 70561025 著者名 Yoshida, Makoto
e-Rad_Researcher 80311893 著者名 Kimura, Yasutoshi
e-Rad_Researcher 10756688 著者名 Asano, Toshimichi
e-Rad_Researcher 70645796 著者名 Nakamura, Toru
e-Rad_Researcher 60468080 著者名 Motoya, Masayo
e-Rad_Researcher 70561025 著者名 Yoshida, Makoto
e-Rad_Researcher 10739296 著者名 Noji, Takehiro
e-Rad_Researcher 90724401 著者名 Okamura, Keisuke
著者名 Takahashi, Kuniyuki
著者名 Katanuma, Akio
e-Rad_Researcher 50322813 著者名 Hirano, Satoshi
言語	英語
キーワード	Pancreatic fistula
	Endoscopic ultrasonography
	Percutaneous drainage
	Pancreatectomy
	Resection
発行日	2021-05
出版者	Springer
収録物名	Langenbeck's archives of surgery
巻(号)	406(3)
ページ	743-751
抄録	Purpose Postoperative pancreatic fistula (POPF) after pancreatectomy is one of the severe postoperative adverse events. We aimed to clarify the outcomes of a strategy for POPF after left-sided pancreatectomy with one-step endoscopic ultrasonography-guided drainage (EUSD) and percutaneous drainage (PCD) based on the wall status of collected fluid. Methods From January 2012 to September 2017, 90 of 336 patients developed grade B/C POPF and were retrospectively analyzed. Primary outcome measures were the technical and clinical success and resolution rates. Secondary outcome measures were time from surgery to intervention, and time from intervention to discharge/resolution or stent/tube removal and adverse events. Results Seventeen patients underwent EUSD and 73 patients underwent PCD for POPF. The technical success rates were 100% in both the EUSD and PCD groups. The clinical success and resolution rates in the EUSD group were 100%, while those in the PCD group were 98.6%. The time from surgery to intervention was significantly longer in the EUSD group than in the PCD group (20 vs. 11 days, p < 0.001). The time from intervention to discharge/resolution was significantly shorter in the EUSD group than in the PCD group (11 vs. 22 days, p < 0.001/10 vs. 20 days, p < 0.001). The time from intervention to stent/tube removal was significantly shorter in the PCD group than in the EUSD group (20.5 vs. 873 days, p < 0.001). Adverse event rates were similar in the two groups (11.8% vs. 5.5%). Conclusion A drainage strategy for POPF based on the wall status of collected fluid is appropriate.
資源タイプ	学術雑誌論文
出版タイプ	Accepted Manuscript
権利情報	This is a post-peer-review, pre-copyedit version of an article published in Langenbeck's archives of surgery. The final authenticated version is available online at: http://dx.doi.org/10.1007/s00423-020-02067-8
PISSN	1435-2443
関連情報 (isVersionOf)	出版社版DOI https://doi.org/10.1007/s00423-020-02067-8