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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2007.6
- 수록면
- 478 - 482 (5page)
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Purpose: We wanted to evaluate the feasibility of using the suction pancreatic duct stent, which was designed to aspirate pancreatic fluid more actively around the pancreaticojejnostomy site during performance of pancreaticoduodenectomy for preventing pancreatic fistula.
Methods: In 7 consecutive pancreaticoduodenectomy patients, we inserted a PVC tube into the remnant pancreatic duct across the duct-to-mucosa type pancreaticojejunostomy at a 2 ㎝ depth as a totally external pancreatic stent. This stent was connected with the aspiration bag of a Jackson-Pratt drain for generating negative pressure. We inserted another Jackson-Pratt drain beneath the pancreaticojejunosomy site and checked the amylase level in the body fluid and the serum at the postoperative 1st and 5th days for evaluating pancreatic leakage. We also checked the daily amount of pancreatic fluid obtained through the suction stent. Pancreatic fistula was defined as an amylase level in the body fluid ＞10,000 U/L on postoperative 1 day or an amylase level in the body fluid ＞3 times the serum amylase level on the postoperative 5th day.
Results: On postoperative day 1, the mean level of intraabdominal fluid amylase was 1,404 U/L (355∼3,850 U/L). On the postoperative 5th day, the mean level of amylase in the body fluid was 40.3 U/L (12∼144 U/L) and the mean level of serum amylase was 38.3 U/L (19∼71 U/L). Even on the postoperative 1st day, we could collect a considerable amount of pancreatic fluid (mean: 55.6 ㎖ (range: 9∼169 ㎖)). There was no complication associated with pancreatic leakage.
Conclusion: The suction pancreatic stent can be a feasible method to prevent pancreatic leakage. Additional randomized studies to compare the conventional pancreatic duct stent with the suction pancreatic duct stent are mandatory.
Methods: In 7 consecutive pancreaticoduodenectomy patients, we inserted a PVC tube into the remnant pancreatic duct across the duct-to-mucosa type pancreaticojejunostomy at a 2 ㎝ depth as a totally external pancreatic stent. This stent was connected with the aspiration bag of a Jackson-Pratt drain for generating negative pressure. We inserted another Jackson-Pratt drain beneath the pancreaticojejunosomy site and checked the amylase level in the body fluid and the serum at the postoperative 1st and 5th days for evaluating pancreatic leakage. We also checked the daily amount of pancreatic fluid obtained through the suction stent. Pancreatic fistula was defined as an amylase level in the body fluid ＞10,000 U/L on postoperative 1 day or an amylase level in the body fluid ＞3 times the serum amylase level on the postoperative 5th day.
Results: On postoperative day 1, the mean level of intraabdominal fluid amylase was 1,404 U/L (355∼3,850 U/L). On the postoperative 5th day, the mean level of amylase in the body fluid was 40.3 U/L (12∼144 U/L) and the mean level of serum amylase was 38.3 U/L (19∼71 U/L). Even on the postoperative 1st day, we could collect a considerable amount of pancreatic fluid (mean: 55.6 ㎖ (range: 9∼169 ㎖)). There was no complication associated with pancreatic leakage.
Conclusion: The suction pancreatic stent can be a feasible method to prevent pancreatic leakage. Additional randomized studies to compare the conventional pancreatic duct stent with the suction pancreatic duct stent are mandatory.
목차
서론
방법
결과
고찰
결론
REFERENCES
참고문헌 (18)
참고문헌 신청
1. [학술지(정기간행물)] - Balcom JH / 2001 / Ten-year experience with 733 pancreatic resections: Changing indications, older patients, and decreasing length of hospitalization / Arch Surg 136 : 391 ~ 398
2. [학술지(정기간행물)] - Bassi C / 2001 / Management of complications after pancreaticoduodenectomy in a high volume centre: results on 150 consecutive patients / Dig Surg 18 : 453 ~ 457
3. [학술지(정기간행물)] - Marcus SG / 1995 / Optimal management of the pancreatic remnant after pancreaticoduodenectomy / Ann Surg 221 : 635 ~ 645
4. [학술지(정기간행물)] - Yeo CJ / 1997 / Six hundred fifty consecutive pancreaticoduodenectomies in the 1990s: pathology, complications, and outcomes / Ann Surg 226 : 248 ~ 257
5. [학술지(정기간행물)] - van Berge Henegouwen MI / 1997 / Incidence, risk factors, and treatment of pancreatic leakage after panceraticoduodenectomy: drainage versus resection of the pancreatic remnant / J Am Coll Surg 185 : 18 ~ 24
2. [학술지(정기간행물)] - Bassi C / 2001 / Management of complications after pancreaticoduodenectomy in a high volume centre: results on 150 consecutive patients / Dig Surg 18 : 453 ~ 457
3. [학술지(정기간행물)] - Marcus SG / 1995 / Optimal management of the pancreatic remnant after pancreaticoduodenectomy / Ann Surg 221 : 635 ~ 645
4. [학술지(정기간행물)] - Yeo CJ / 1997 / Six hundred fifty consecutive pancreaticoduodenectomies in the 1990s: pathology, complications, and outcomes / Ann Surg 226 : 248 ~ 257
5. [학술지(정기간행물)] - van Berge Henegouwen MI / 1997 / Incidence, risk factors, and treatment of pancreatic leakage after panceraticoduodenectomy: drainage versus resection of the pancreatic remnant / J Am Coll Surg 185 : 18 ~ 24
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UCI(KEPA) : I410-ECN-0101-2013-514-002675558