Systematic review and meta‐analysis of technique for closure of the pancreatic remnant after distal pancreatectomy

@article{Knaebel2005SystematicRA,
  title={Systematic review and meta‐analysis of technique for closure of the pancreatic remnant after distal pancreatectomy},
  author={H. P. Knaebel and M. K. Diener and Moritz N. Wente and Markus W. B{\"u}chler and Christoph M. Seiler},
  journal={British Journal of Surgery},
  year={2005},
  volume={92}
}
Appropriate closure of the pancreatic remnant after distal pancreatectomy is still debated. A variety of procedures have been recommended to reduce the frequency of pancreatic fistula. This review quantitatively compares the available techniques. 
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The aim of this study was to compare closure techniques and risk of postoperative pancreatic fistula (POPF) with established closure techniques for the pancreatic remnant after distal pancreatectomy.
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References

SHOWING 1-10 OF 39 REFERENCES
DISTAL PANCREATECTOMY: IS STAPLE CLOSURE BENEFICIAL?
TLDR
Data on distal pancreatectomy were reviewed to evaluate the effectiveness of staple closure compared with suture closure and it was found that staple closure was more effective than sutureclosure in relation to pancreatic remnant closure.
Pancreatic leak after left pancreatectomy is reduced following main pancreatic duct ligation
TLDR
Clinopathological and operative factors that may contribute to postoperative pancreatic leak were evaluated and the optimal management strategy for the residual transected pancreatic parenchyma and the divided pancreatic duct was evaluated.
Randomized clinical trial of ultrasonic dissector or conventional division in distal pancreatectomy for non‐fibrotic pancreas
TLDR
The purpose of this study was to evaluate ultrasonic dissection for division of the non‐fibrotic pancreas in distal pancreatectomy.
Distal pancreatectomy: does the method of closure influence fistula formation?
TLDR
A retrospective chart review of patients undergoing distal pancreatectomy at an institution between 1993 and 2001 found the incidence of pancreatic fistula formation was not related to method of closure of the pancreatic remnant nor to the underlying pathologic process.
Management of the stump of the pancreas after distal pancreatic resection
TLDR
It is concluded that caudal pancreatic drainage confers no benefit following distal pancreatectomy and should not be performed.
Low mortality following resection for pancreatic and periampullary tumours in 1026 patients: UK survey of specialist pancreatic units
TLDR
A survey of specialist units was conducted to determine whether the results differed from those in general units, and it was found that specialist units did not have a higher mortality than general units.
Subtotal pancreatectomy with stapling the pancreatic remnant
ConclusionsWe suggest that subtotal pancreatectomy in pancreatic cancers may be performed with stapling the pancreas and leaving the pancreatic remnant in situ without establishing a…
Quick and simple distal pancreatectomy using the GIA stapler: Report of 35 cases
TLDR
A method for distal pancreatectomy using the multifire GIA‐80 stapler is reported that is quicker, associated with reduced blood loss and a lower incidence of pancreatic fistula than with other instruments such as the TA‐55Stapler.
Closure of the distal pancreatic stump with a seromuscular flap
TLDR
This new technique provides tight closure of the pancreatic stump after distal pancreatectomy, devised to decrease the risk of pancreatic fistula formation.
Simplified distal pancreatectomy with the Auto Suture stapler: preliminary clinical observations.
TLDR
In an attempt to decrease the high postoperative fistula rate after distal pancreatectomy, transection of the gland with the autosuture has been investigated and preliminary experience indicates that a more widespread evaluation of this technique is indicated.
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