A Novel Radiological Predictor for Postoperative Pancreatic Fistula After Stapled Distal Pancreatectomy

被引：6

作者：

Bag, Yusuf Murat ^{[1
]}

Topel, Cagdas ^{[2
]}

Ozdemir, Egemen ^{[1
]}

Saglam, Kutay ^{[1
]}

Sumer, Fatih ^{[1
]}

Kayaalp, Cuneyt ^{[1
]}

机构：

[1] Inonu Univ, Dept Gastrointestinal Surg, Elazig Rd,15th Km, TR-44315 Malatya, Turkey

[2] Univ Hlth Sci, Mehmet Akif Ersoy Thorac & Cardiovasc Surg Traini, Dept Radiol, Istanbul, Turkey

来源：

AMERICAN SURGEON | 2021年 / 87卷 / 05期

关键词：

pancreatic leak; pancreatic body and tail resection; risk; STUMP CLOSURE;

D O I：

10.1177/0003134820952429

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Background Distal pancreatectomy (DP) is the main surgical treatment of benign and malignant lesions located in pancreatic body and tail. Postoperative pancreatic fistula (POPF) following DP is still a considerable cause of morbidity. Identification of risk factors for POPF after DP might provide some preventive applications. We aimed to evaluate the factors affecting POPF after DP and to present a new and easy radiological predictive factor. Materials and Methods Thirty-four patients underwent DP with stapler closure were included. Several risk factors for clinically relevant POPF (CR-POPF) were analyzed. Additionally, computed tomography findings of pancreatic thickness (PT), main pancreatic duct diameter (MPDD), and PT/MPDD ratio were evaluated for POPF. Results CR-POPF was observed in 10 patients (29.4%). Univariate and multivariate analyses showed that previous abdominal surgery and PT/MPDD ratio were predictive factors for CR-POPF after DP (P = 0.040, P = 0.034, respectively). The cutoff value for the PT/MPDD ratio was 8. Conclusion A PT/MPDD ratio greater than 8 (a wide pancreas with a narrow duct) is a significant predictive factor for CR-POPF following DP.

引用

页码：725 / 731

页数：7

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