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The Influence On Postoperative Pancreatic Fistula After Distal Pancreatectomy With Straight Endoscopic Linear Stapler Use

Posted on:2017-05-17Degree:MasterType:Thesis
Country:ChinaCandidate:J R RuiFull Text:PDF
GTID:2284330485457592Subject:Surgery
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Objective: To determine the influence of the stapler in distal pancreatectomy on the postoperative pancreatic fistula. Methods: The clinical data of ninety-four patients with pancreatic lesions, who underwent distal pancreatectomy in our hospital from July 2010 to July 2015, were retrospectively analyzed. Results: Of the ninety-four patients, hand-sewn was used after the scalpel trans-section in fifty patients and stapler closure in forty-four patients after distal pancreatectomy. The incidences of pancreatic fistula and abdominal infection in Endo-GIA closure group and hand-sewn closure group were 43.2%vs 64%, with significant difference(P<0.05) between two groups. The operation time, intraoperative bleeding, postoperative bleeding and postoperative hospital stay were similar between two groups. Conclusion: For the distal pancreatectomy, the stapler could decrease the incidence of pancreatic fistula.
Keywords/Search Tags:pancreatic neoplasms, distal pancreatectomy, pancreatic leak or fistula
PDF Full Text Request
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