Position of the Pancreas Division Line and Postoperative Outcomes After Distal Pancreatectomy

Background In distal pancreatectomy (DP), the position of the pancreas division line (PDL) changes depending on the location or nature of the tumor. Here, we investigated the relationship between PDL and postoperative complications after DP. Methods We retrospectively analyzed data of 140 patients w...

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Bibliographic Details
Published in:World journal of surgery 2020-04, Vol.44 (4), p.1244-1251
Main Authors: Matsui, Satoshi, Ogura, Toshiro, Ban, Daisuke, Ogawa, Kosuke, Ono, Hiroaki, Mitsunori, Yusuke, Kudo, Atsushi, Tanaka, Shinji, Tanabe, Minoru
Format: Article
Language:English
Subjects:
Abdominal Surgery
Adult
Aged
Aged, 80 and over
Blood
Cardiac Surgery
Complications
Computed tomography
Female
General Surgery
Glucose tolerance
Humans
Male
Medicine
Medicine & Public Health
Middle Aged
Operative Time
Original Scientific Report
Pancreas
Pancreatectomy
Pancreatectomy - adverse effects
Pancreatectomy - methods
Pancreatic Neoplasms - surgery
Patients
Portal vein
Postoperative Complications - epidemiology
Postoperative period
Retrospective Studies
Surgery
Thoracic Surgery
Thromboembolism
Thrombosis
Vascular Surgery
Young Adult
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Summary:Background In distal pancreatectomy (DP), the position of the pancreas division line (PDL) changes depending on the location or nature of the tumor. Here, we investigated the relationship between PDL and postoperative complications after DP. Methods We retrospectively analyzed data of 140 patients who underwent DP at Tokyo Medical and Dental University Hospital between January 2011 and September 2018. PDL was defined as the distance from the left margin of the portal vein to the edge of the pancreatic stump on the coronal plane of computed tomography. Results The mean PDL was 15.1 (range 0–74.3) mm. PDL was significantly longer in patients with portal venous system thrombosis (PVST) than in those without PVST (47.6 vs. 0 mm, p  
ISSN:0364-2313
1432-2323
DOI:10.1007/s00268-019-05305-3