Ligamentum teres hepatis patch enhances the healing of pancreatic fistula after distal pancreatectomy

• Published in: Hepatobiliary & pancreatic diseases international Vol. 12; no. 6; pp. 651 - 655
• Main Authors: Wu, Chun-Tao, Xu, Wen-Yan, Liu, Liang, Long, Jiang, Xu, Jin, Ni, Quan-Xing, Liu, Chen, Yu, Xian-Jun
• Format: Journal Article
• Language: English
• Published: Singapore Elsevier B.V 01.12.2013
• Subjects: Adult; Aged; complications; distal; distal pancreatectomy; Endocrinology & Metabolism; Female; fistula; Gastroenterology and Hepatology; Humans; Ligaments - transplantation; Ligation; Male; Middle Aged; Pancreas - surgery; pancreatectomy; Pancreatectomy - adverse effects; pancreatic; Pancreatic Ducts - surgery; pancreatic fistula; Pancreatic Fistula - etiology; Pancreatic Fistula - surgery; Pancreatic Neoplasms - surgery; Retrospective Studies; Suture Techniques; Time Factors; Transplants; Treatment Outcome; Wound Healing; pancreatic fistula; complications; distal pancreatectomy
• ISSN: 1499-3872
• DOI: 10.1016/S1499-3872(13)60102-2

Pancreatic fistula is one of the most common complications after the distal pancreatectomy.Many methods have been tried to solve the problem,but no one is optimal,especially for the soft pancreatic stump cases.This study used ligamentum teres hepatis as a patch to cover the pancreatic stump.Between October 2010 and December 2012,seventyseven patients who had undergone distal pancreatectomy with a soft pancreatic stump were divided into two groups:group A(n=39,patients received conventional ligated main pancreatic duct method)and group B(n=38,patients underwent a coverage procedure).Patients in group A had a longer recovery from postoperative pancreatic fistula than those in group B(16.4±3.5 vs 10.8±1.6 days,P<0.05).The coverage procedure with ligamentum teres hepatis is a safe,effective and convenient method for patients with a soft pancreas remnant during distal pancreatectomy.