Surgical loupes at 5.0× magnification and the VIO soft-coagulation system can prevent postoperative pancreatic fistula in duct-to-mucosa pancreaticojejunostomy
Postoperative pancreatic fistula (POPF) remains a major complication after pancreaticoduodenectomy (PD). In this study, we examined whether our new method using surgical loupes at 5.0× magnification and the VIO soft coagulation system (SC) for duct-to-mucosa pancreaticojejunostomy (PJ) can prevent P...
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| Veröffentlicht in: | Anticancer research 2015-03, Vol.35 (3), p.1691-1696 |
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| creator | Yamashita, Yo-Ichi Yoshida, Yoshihiro Kurihara, Takeshi Tsujita, Eiji Takeishi, Kazuki Ishida, Teruyoshi Ikeda, Tetsuo Furukawa, Yoshinari Shirabe, Ken Maehara, Yoshihiko |
| description | Postoperative pancreatic fistula (POPF) remains a major complication after pancreaticoduodenectomy (PD). In this study, we examined whether our new method using surgical loupes at 5.0× magnification and the VIO soft coagulation system (SC) for duct-to-mucosa pancreaticojejunostomy (PJ) can prevent POPF.
A retrospective cohort study was performed in 81 consecutive patients who underwent PD and duct-to-mucosa PJ for periampullary tumors by a single surgeon during a recent 5-year period from 2008 to 2012. These patients were divided into two groups according to the nature of the PJ; the conventional group (n=46) and the 5.0× loupes+SC group (n=35). Short-term surgical results including POPF were compared and an independent risk factor for POPF was identified using the stepwise logistic regression analysis in our series.
The rate of Grade B/C POPF was significantly decreased in the 5.0× loupes+SC group (2.9%) compared to that of the conventional group (9.9%, p=0.04). The absence of 5.0× loupes+SC for PJ was identified as the independent risk factor for Grade B/C POPF (odds ratio, 5.23; p-value, 0.03).
5.0× surgical loupes+SC for duct-to-mucosa PJ could be used as a novel technique for preventing POPF after PD. |
| format | Article |
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A retrospective cohort study was performed in 81 consecutive patients who underwent PD and duct-to-mucosa PJ for periampullary tumors by a single surgeon during a recent 5-year period from 2008 to 2012. These patients were divided into two groups according to the nature of the PJ; the conventional group (n=46) and the 5.0× loupes+SC group (n=35). Short-term surgical results including POPF were compared and an independent risk factor for POPF was identified using the stepwise logistic regression analysis in our series.
The rate of Grade B/C POPF was significantly decreased in the 5.0× loupes+SC group (2.9%) compared to that of the conventional group (9.9%, p=0.04). The absence of 5.0× loupes+SC for PJ was identified as the independent risk factor for Grade B/C POPF (odds ratio, 5.23; p-value, 0.03).
5.0× surgical loupes+SC for duct-to-mucosa PJ could be used as a novel technique for preventing POPF after PD.</description><identifier>EISSN: 1791-7530</identifier><identifier>PMID: 25750329</identifier><language>eng</language><publisher>Greece</publisher><subject>Aged ; Anastomosis, Surgical - adverse effects ; Cohort Studies ; Electrocoagulation - methods ; Female ; Humans ; Logistic Models ; Male ; Microsurgery - instrumentation ; Middle Aged ; Pancreatic Ducts - surgery ; Pancreatic Fistula - prevention & control ; Pancreaticojejunostomy - adverse effects ; Postoperative Complications - prevention & control ; Retrospective Studies ; Telescopes</subject><ispartof>Anticancer research, 2015-03, Vol.35 (3), p.1691-1696</ispartof><rights>Copyright© 2015 International Institute of Anticancer Research (Dr. John G. Delinassios), All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25750329$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Yamashita, Yo-Ichi</creatorcontrib><creatorcontrib>Yoshida, Yoshihiro</creatorcontrib><creatorcontrib>Kurihara, Takeshi</creatorcontrib><creatorcontrib>Tsujita, Eiji</creatorcontrib><creatorcontrib>Takeishi, Kazuki</creatorcontrib><creatorcontrib>Ishida, Teruyoshi</creatorcontrib><creatorcontrib>Ikeda, Tetsuo</creatorcontrib><creatorcontrib>Furukawa, Yoshinari</creatorcontrib><creatorcontrib>Shirabe, Ken</creatorcontrib><creatorcontrib>Maehara, Yoshihiko</creatorcontrib><title>Surgical loupes at 5.0× magnification and the VIO soft-coagulation system can prevent postoperative pancreatic fistula in duct-to-mucosa pancreaticojejunostomy</title><title>Anticancer research</title><addtitle>Anticancer Res</addtitle><description>Postoperative pancreatic fistula (POPF) remains a major complication after pancreaticoduodenectomy (PD). In this study, we examined whether our new method using surgical loupes at 5.0× magnification and the VIO soft coagulation system (SC) for duct-to-mucosa pancreaticojejunostomy (PJ) can prevent POPF.
A retrospective cohort study was performed in 81 consecutive patients who underwent PD and duct-to-mucosa PJ for periampullary tumors by a single surgeon during a recent 5-year period from 2008 to 2012. These patients were divided into two groups according to the nature of the PJ; the conventional group (n=46) and the 5.0× loupes+SC group (n=35). Short-term surgical results including POPF were compared and an independent risk factor for POPF was identified using the stepwise logistic regression analysis in our series.
The rate of Grade B/C POPF was significantly decreased in the 5.0× loupes+SC group (2.9%) compared to that of the conventional group (9.9%, p=0.04). The absence of 5.0× loupes+SC for PJ was identified as the independent risk factor for Grade B/C POPF (odds ratio, 5.23; p-value, 0.03).
5.0× surgical loupes+SC for duct-to-mucosa PJ could be used as a novel technique for preventing POPF after PD.</description><subject>Aged</subject><subject>Anastomosis, Surgical - adverse effects</subject><subject>Cohort Studies</subject><subject>Electrocoagulation - methods</subject><subject>Female</subject><subject>Humans</subject><subject>Logistic Models</subject><subject>Male</subject><subject>Microsurgery - instrumentation</subject><subject>Middle Aged</subject><subject>Pancreatic Ducts - surgery</subject><subject>Pancreatic Fistula - prevention & control</subject><subject>Pancreaticojejunostomy - adverse effects</subject><subject>Postoperative Complications - prevention & control</subject><subject>Retrospective Studies</subject><subject>Telescopes</subject><issn>1791-7530</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpNkM1KAzEUhYMgtlZfQe7SzUgy6WSapRR_CoUu_NkOd5JMnTKTxElS6JO49V18MUes4OpcON85cO4JmbJSsqwsOJ2Q8xB2lAohF_yMTPKiLCjP5ZR8PqVh2yrsoHPJmwAYobihXx_Q49a2zWjF1llAqyG-GXhdbSC4JmbK4TZ1v2Y4hGh6UGjBD2ZvbATvQnTeDCOwN-DRqsGMt4KmDXHMQWtBJxWz6LI-KRfwH-R2ZpfsT0N_uCCnDXbBXB51Rl7u756Xj9l687Ba3q4zz3IRs4KxMuc8x4VEJudaS9rUmqui5EwykTOtecklqppRFHRcXyqk86KWc4EL0fAZuf7t9YN7TybEqm-DMl2H1rgUKiYEk5LKMTkjV0c01b3RlR_aHodD9fdV_g2Ue3Za</recordid><startdate>201503</startdate><enddate>201503</enddate><creator>Yamashita, Yo-Ichi</creator><creator>Yoshida, Yoshihiro</creator><creator>Kurihara, Takeshi</creator><creator>Tsujita, Eiji</creator><creator>Takeishi, Kazuki</creator><creator>Ishida, Teruyoshi</creator><creator>Ikeda, Tetsuo</creator><creator>Furukawa, Yoshinari</creator><creator>Shirabe, Ken</creator><creator>Maehara, Yoshihiko</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>201503</creationdate><title>Surgical loupes at 5.0× magnification and the VIO soft-coagulation system can prevent postoperative pancreatic fistula in duct-to-mucosa pancreaticojejunostomy</title><author>Yamashita, Yo-Ichi ; Yoshida, Yoshihiro ; Kurihara, Takeshi ; Tsujita, Eiji ; Takeishi, Kazuki ; Ishida, Teruyoshi ; Ikeda, Tetsuo ; Furukawa, Yoshinari ; Shirabe, Ken ; Maehara, Yoshihiko</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p126t-51172332a89a194dd90fbd3c573191621dd3739acb10a605037ca045b946a86f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Aged</topic><topic>Anastomosis, Surgical - adverse effects</topic><topic>Cohort Studies</topic><topic>Electrocoagulation - methods</topic><topic>Female</topic><topic>Humans</topic><topic>Logistic Models</topic><topic>Male</topic><topic>Microsurgery - instrumentation</topic><topic>Middle Aged</topic><topic>Pancreatic Ducts - surgery</topic><topic>Pancreatic Fistula - prevention & control</topic><topic>Pancreaticojejunostomy - adverse effects</topic><topic>Postoperative Complications - prevention & control</topic><topic>Retrospective Studies</topic><topic>Telescopes</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Yamashita, Yo-Ichi</creatorcontrib><creatorcontrib>Yoshida, Yoshihiro</creatorcontrib><creatorcontrib>Kurihara, Takeshi</creatorcontrib><creatorcontrib>Tsujita, Eiji</creatorcontrib><creatorcontrib>Takeishi, Kazuki</creatorcontrib><creatorcontrib>Ishida, Teruyoshi</creatorcontrib><creatorcontrib>Ikeda, Tetsuo</creatorcontrib><creatorcontrib>Furukawa, Yoshinari</creatorcontrib><creatorcontrib>Shirabe, Ken</creatorcontrib><creatorcontrib>Maehara, Yoshihiko</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Anticancer research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yamashita, Yo-Ichi</au><au>Yoshida, Yoshihiro</au><au>Kurihara, Takeshi</au><au>Tsujita, Eiji</au><au>Takeishi, Kazuki</au><au>Ishida, Teruyoshi</au><au>Ikeda, Tetsuo</au><au>Furukawa, Yoshinari</au><au>Shirabe, Ken</au><au>Maehara, Yoshihiko</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Surgical loupes at 5.0× magnification and the VIO soft-coagulation system can prevent postoperative pancreatic fistula in duct-to-mucosa pancreaticojejunostomy</atitle><jtitle>Anticancer research</jtitle><addtitle>Anticancer Res</addtitle><date>2015-03</date><risdate>2015</risdate><volume>35</volume><issue>3</issue><spage>1691</spage><epage>1696</epage><pages>1691-1696</pages><eissn>1791-7530</eissn><abstract>Postoperative pancreatic fistula (POPF) remains a major complication after pancreaticoduodenectomy (PD). In this study, we examined whether our new method using surgical loupes at 5.0× magnification and the VIO soft coagulation system (SC) for duct-to-mucosa pancreaticojejunostomy (PJ) can prevent POPF.
A retrospective cohort study was performed in 81 consecutive patients who underwent PD and duct-to-mucosa PJ for periampullary tumors by a single surgeon during a recent 5-year period from 2008 to 2012. These patients were divided into two groups according to the nature of the PJ; the conventional group (n=46) and the 5.0× loupes+SC group (n=35). Short-term surgical results including POPF were compared and an independent risk factor for POPF was identified using the stepwise logistic regression analysis in our series.
The rate of Grade B/C POPF was significantly decreased in the 5.0× loupes+SC group (2.9%) compared to that of the conventional group (9.9%, p=0.04). The absence of 5.0× loupes+SC for PJ was identified as the independent risk factor for Grade B/C POPF (odds ratio, 5.23; p-value, 0.03).
5.0× surgical loupes+SC for duct-to-mucosa PJ could be used as a novel technique for preventing POPF after PD.</abstract><cop>Greece</cop><pmid>25750329</pmid><tpages>6</tpages></addata></record> |
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| subjects | Aged Anastomosis, Surgical - adverse effects Cohort Studies Electrocoagulation - methods Female Humans Logistic Models Male Microsurgery - instrumentation Middle Aged Pancreatic Ducts - surgery Pancreatic Fistula - prevention & control Pancreaticojejunostomy - adverse effects Postoperative Complications - prevention & control Retrospective Studies Telescopes |
| title | Surgical loupes at 5.0× magnification and the VIO soft-coagulation system can prevent postoperative pancreatic fistula in duct-to-mucosa pancreaticojejunostomy |
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