Flooring the Major Vessels with Falciform Ligament to Prevent Post-Pancreatectomy Hemorrhage.

World Journal of Surgery
Kenjiro OkadaShinya Takahashi

Abstract

One of the most severe pancreatic surgery complications is post-pancreatectomy hemorrhage (PPH). This study's aim was to evaluate the efficacy of flooring the major vessels with falciform ligament in preventing PPH after pancreatoduodenectomy (PD). This study was a retrospective review of 500 consecutive patients who underwent PD between Jan 2010 and Dec 2019 at Hiroshima University. Morbidities, including postoperative pancreatic fistula (POPF) or PPH and 90-day mortality, were analyzed. The study cohort was divided into two groups based on the time of surgery (2010-2016 and 2017-2019), i.e., before and after implementation of falciform ligament flooring method. The patient characteristics, operative parameters, clinicopathological factors, morbidity, and mortality were compared between the two periods. Morbidity and mortality rates in the entire cohort were 21% and 1.4%, respectively. The incidence of Grade B/C POPF and PPH was 9.0% and 3.8%, respectively. There was no significant difference between the two periods with respect to Grade B/C POPF, morbidity rate, and mortality rate; however, the rate of Grade B/C PPH significantly decreased from 5.2 to 1.6% p = .027. On multivariate analysis, the absence of the falciform ligam...Continue Reading

References

Jul 28, 2004·Journal of the American College of Surgeons·Seong Ho ChoiYong Il Kim
Sep 27, 2005·Journal of the American College of Surgeons·Yu-Wen TienYen-Feng Chiu
Jun 24, 2006·Annals of Surgery·John L CameronKenneth A Belcher
Nov 23, 2006·Journal of the American College of Surgeons·David A IannittiWilliam G Cioffi
Aug 2, 2007·Annals of Surgery·James T McPheeJennifer F Tseng
Oct 24, 2007·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Yoshiaki MurakamiTaijiro Sueda
Dec 1, 2007·Journal of Surgical Oncology·Yoshiaki MurakamiTaijiro Sueda
Mar 13, 2008·Journal of Surgical Oncology·Yoshiaki MurakamiTaijiro Sueda
Jan 27, 2009·Journal of Hepato-biliary-pancreatic Surgery·Nobutsugu AbeYutaka Atomi
Jan 27, 2011·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Didier RoulinMarkus Schäfer
Oct 4, 2011·The British Journal of Surgery·A J EckardtM Glanemann
Jul 17, 2012·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Timothy I CarterErnest L Rosato
Aug 28, 2012·Journal of the American College of Surgeons·Camilo Correa-GallegoPeter J Allen
Feb 26, 2013·Langenbeck's Archives of Surgery·B DarnisM Adham
Jan 15, 2014·Journal of Surgical Oncology·Kenichiro UemuraTaijiro Sueda
Jan 23, 2014·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·U F WellnerT Keck
Jan 4, 2017·Surgery·Claudio BassiUNKNOWN International Study Group on Pancreatic Surgery (ISGPS)
Nov 8, 2017·Pancreatology : Official Journal of the International Association of Pancreatology (IAP) ... [et Al.]·Steffen WolkMarius Distler
Nov 7, 2018·Langenbeck's Archives of Surgery·Dyre KleiveKnut Jørgen Labori

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Citations

Jan 8, 2021·Langenbeck's Archives of Surgery·Vasudevan BaskaranRamanathan Saranga Bharathi

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