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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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| Published in: | Surgery today (Tokyo, Japan) Japan), 2018-01, Vol.48 (1), p.95-100 |
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| container_title | Surgery today (Tokyo, Japan) |
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| creator | Kawaida, Hiromichi Kono, Hiroshi Watanabe, Mitsuaki Hosomura, Naohiro Amemiya, Hidetake Fujii, Hideki |
| description | 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. |
| doi_str_mv | 10.1007/s00595-017-1554-2 |
| format | article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_5711995</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1908434228</sourcerecordid><originalsourceid>FETCH-LOGICAL-c532t-a5c2002e5ce8a8dfa466189b5bc7a25241283b4c4147856c37e8103b2a53e1773</originalsourceid><addsrcrecordid>eNp9Uctq3DAUFaWhmU77Ad0ULbtRo6uHLW8CIfQFgUBI10LWXE-VeixHkhPy91WYdEg2Wd17OQ8ddAj5BPwrcN6eZM51pxmHloHWiok3ZAVKNkwYkG_JincKGIgOjsn7nG84F8pw_o4cC9Nw3ki1IturkP_SwfkSU6ZxoHPMJc6YXAl3SGc3-YR193QIuSyjo24omOimXm484Fj1uwe65DBtqaMlhXlEluI9rbS6pg_kaHBjxo9Pc01-f_92ff6TXVz--HV-dsG8lqIwp72oMVF7NM5sBqeaBkzX6963TmihQBjZK69AtUY3XrZogMteOC0R2lauyened176HW48TiW50c4p7Fx6sNEF-xKZwh-7jXdWtwBdp6vBlyeDFG8XzMXuQvY4jm7CuGQLHTdKKlFzrAnsqT7FnBMOh2eA28eC7L4gWwuyjwVZUTWfn-c7KP43UgliT8gVmraY7E1c0lT_7BXXfzOZnf0</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1908434228</pqid></control><display><type>article</type><title>Risk factors of postoperative pancreatic fistula after distal pancreatectomy using a triple-row stapler</title><source>Springer Link</source><creator>Kawaida, Hiromichi ; Kono, Hiroshi ; Watanabe, Mitsuaki ; Hosomura, Naohiro ; Amemiya, Hidetake ; Fujii, Hideki</creator><creatorcontrib>Kawaida, Hiromichi ; Kono, Hiroshi ; Watanabe, Mitsuaki ; Hosomura, Naohiro ; Amemiya, Hidetake ; Fujii, Hideki</creatorcontrib><description>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.</description><identifier>ISSN: 0941-1291</identifier><identifier>EISSN: 1436-2813</identifier><identifier>DOI: 10.1007/s00595-017-1554-2</identifier><identifier>PMID: 28600634</identifier><language>eng</language><publisher>Tokyo: Springer Japan</publisher><subject>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</subject><ispartof>Surgery today (Tokyo, Japan), 2018-01, Vol.48 (1), p.95-100</ispartof><rights>The Author(s) 2017</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c532t-a5c2002e5ce8a8dfa466189b5bc7a25241283b4c4147856c37e8103b2a53e1773</citedby><cites>FETCH-LOGICAL-c532t-a5c2002e5ce8a8dfa466189b5bc7a25241283b4c4147856c37e8103b2a53e1773</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,780,784,885,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28600634$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kawaida, Hiromichi</creatorcontrib><creatorcontrib>Kono, Hiroshi</creatorcontrib><creatorcontrib>Watanabe, Mitsuaki</creatorcontrib><creatorcontrib>Hosomura, Naohiro</creatorcontrib><creatorcontrib>Amemiya, Hidetake</creatorcontrib><creatorcontrib>Fujii, Hideki</creatorcontrib><title>Risk factors of postoperative pancreatic fistula after distal pancreatectomy using a triple-row stapler</title><title>Surgery today (Tokyo, Japan)</title><addtitle>Surg Today</addtitle><addtitle>Surg Today</addtitle><description>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.</description><subject>Aged</subject><subject>Aging</subject><subject>Body Mass Index</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Original</subject><subject>Original Article</subject><subject>Pancreatectomy - adverse effects</subject><subject>Pancreatectomy - methods</subject><subject>Pancreatic Fistula - etiology</subject><subject>Postoperative Complications - etiology</subject><subject>Risk Factors</subject><subject>Surgery</subject><subject>Surgical Oncology</subject><subject>Surgical Staplers - adverse effects</subject><issn>0941-1291</issn><issn>1436-2813</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><recordid>eNp9Uctq3DAUFaWhmU77Ad0ULbtRo6uHLW8CIfQFgUBI10LWXE-VeixHkhPy91WYdEg2Wd17OQ8ddAj5BPwrcN6eZM51pxmHloHWiok3ZAVKNkwYkG_JincKGIgOjsn7nG84F8pw_o4cC9Nw3ki1IturkP_SwfkSU6ZxoHPMJc6YXAl3SGc3-YR193QIuSyjo24omOimXm484Fj1uwe65DBtqaMlhXlEluI9rbS6pg_kaHBjxo9Pc01-f_92ff6TXVz--HV-dsG8lqIwp72oMVF7NM5sBqeaBkzX6963TmihQBjZK69AtUY3XrZogMteOC0R2lauyened176HW48TiW50c4p7Fx6sNEF-xKZwh-7jXdWtwBdp6vBlyeDFG8XzMXuQvY4jm7CuGQLHTdKKlFzrAnsqT7FnBMOh2eA28eC7L4gWwuyjwVZUTWfn-c7KP43UgliT8gVmraY7E1c0lT_7BXXfzOZnf0</recordid><startdate>20180101</startdate><enddate>20180101</enddate><creator>Kawaida, Hiromichi</creator><creator>Kono, Hiroshi</creator><creator>Watanabe, Mitsuaki</creator><creator>Hosomura, Naohiro</creator><creator>Amemiya, Hidetake</creator><creator>Fujii, Hideki</creator><general>Springer Japan</general><scope>C6C</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20180101</creationdate><title>Risk factors of postoperative pancreatic fistula after distal pancreatectomy using a triple-row stapler</title><author>Kawaida, Hiromichi ; Kono, Hiroshi ; Watanabe, Mitsuaki ; Hosomura, Naohiro ; Amemiya, Hidetake ; Fujii, Hideki</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c532t-a5c2002e5ce8a8dfa466189b5bc7a25241283b4c4147856c37e8103b2a53e1773</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Aged</topic><topic>Aging</topic><topic>Body Mass Index</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Original</topic><topic>Original Article</topic><topic>Pancreatectomy - adverse effects</topic><topic>Pancreatectomy - methods</topic><topic>Pancreatic Fistula - etiology</topic><topic>Postoperative Complications - etiology</topic><topic>Risk Factors</topic><topic>Surgery</topic><topic>Surgical Oncology</topic><topic>Surgical Staplers - adverse effects</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kawaida, Hiromichi</creatorcontrib><creatorcontrib>Kono, Hiroshi</creatorcontrib><creatorcontrib>Watanabe, Mitsuaki</creatorcontrib><creatorcontrib>Hosomura, Naohiro</creatorcontrib><creatorcontrib>Amemiya, Hidetake</creatorcontrib><creatorcontrib>Fujii, Hideki</creatorcontrib><collection>SpringerOpen</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Surgery today (Tokyo, Japan)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kawaida, Hiromichi</au><au>Kono, Hiroshi</au><au>Watanabe, Mitsuaki</au><au>Hosomura, Naohiro</au><au>Amemiya, Hidetake</au><au>Fujii, Hideki</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Risk factors of postoperative pancreatic fistula after distal pancreatectomy using a triple-row stapler</atitle><jtitle>Surgery today (Tokyo, Japan)</jtitle><stitle>Surg Today</stitle><addtitle>Surg Today</addtitle><date>2018-01-01</date><risdate>2018</risdate><volume>48</volume><issue>1</issue><spage>95</spage><epage>100</epage><pages>95-100</pages><issn>0941-1291</issn><eissn>1436-2813</eissn><abstract>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.</abstract><cop>Tokyo</cop><pub>Springer Japan</pub><pmid>28600634</pmid><doi>10.1007/s00595-017-1554-2</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Surgery today (Tokyo, Japan), 2018-01, Vol.48 (1), p.95-100 |
| issn | 0941-1291 1436-2813 |
| language | eng |
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| source | Springer Link |
| 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 |
| title | Risk factors of postoperative pancreatic fistula after distal pancreatectomy using a triple-row stapler |
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