Risk factors of postoperative pancreatic fistula after distal pancreatectomy using a triple-row stapler

Purpose Postoperative pancreatic fistula (POPF) is one of the major complications in patients who undergo distal pancreatectomy (DP). Recently, dividing the pancreas by stapler is a commonly performed technique, however, POPF still occurs. Therefore, the purpose of this study was to investigate the...

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Bibliographic Details
Published in:Surgery today (Tokyo, Japan) Japan), 2018-01, Vol.48 (1), p.95-100
Main Authors: Kawaida, Hiromichi, Kono, Hiroshi, Watanabe, Mitsuaki, Hosomura, Naohiro, Amemiya, Hidetake, Fujii, Hideki
Format: Article
Language:English
Subjects:
Aged
Aging
Body Mass Index
Female
Humans
Male
Medicine
Medicine & Public Health
Middle Aged
Original
Original Article
Pancreatectomy - adverse effects
Pancreatectomy - methods
Pancreatic Fistula - etiology
Postoperative Complications - etiology
Risk Factors
Surgery
Surgical Oncology
Surgical Staplers - adverse effects
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Summary:Purpose Postoperative pancreatic fistula (POPF) is one of the major complications in patients who undergo distal pancreatectomy (DP). Recently, dividing the pancreas by stapler is a commonly performed technique, however, POPF still occurs. Therefore, the purpose of this study was to investigate the risk factors for POPF after DP using a triple-row stapler. Methods A total of 75 patients underwent DP using a triple-row stapler (Endo GIA™ Reloads with Tri-Staple™ Technology 60 mm; COVIDIEN, North Haven, CT, USA) at Yamanashi University from December 2012 to December 2016. The clinical risk factors for POPF after DP using a triple-row stapler were identified based on univariate and multivariate analyses. Results Clinical POPF (ISGPF Grade B and C) was seen in 7 of 75 patients (9.3%). The body mass index (BMI) was significantly higher in the patients with POPF (26.8 ± 0.5 kg/m 2 ) compared with the patients without POPF (21.4 ± 0.4 kg/m 2 ; a cut-off value; 25.7 kg/m 2 ). In addition, the patients with POPF were significantly younger than the patients without POPF (56.4 ± 5.6 vs 67.0 ± 1.5; a cut-off value was 57.0 years old). Conclusions BMI and age were found to be significant risk factors for POPF after DP using a triple-row stapler.
ISSN:0941-1291
1436-2813
DOI:10.1007/s00595-017-1554-2