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Does fibrin glue prevent biliary and pancreatic fistula after surgical resection?


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タイトル: Does fibrin glue prevent biliary and pancreatic fistula after surgical resection?
著者: Nanashima, Atsushi / Tobinaga, Syuuichi / Kunizaki, Masaki / Nonaka, Takashi / Takeshita, Hiroaki / Hidaka, Shigekazu / Sawai, Terumitsu / Nagayasu, Takeshi
発行日: 2012年 7月
出版者: H.G.E. Update Medical Publishing Ltd.
引用: Hepato-gastroenterology, 59(117), pp.1544-1547; 2012
抄録: Background/Aims: Efficacy of fibrin glue to prevent biliary or pancreas fistula at the resected edge of the liver or pancreas is controversial. We examined surgical results of fibrin glue use in patients who underwent hepatectomy or pancreatectomy to assess the efficacy of its use. Methodology: Subjects were divided into two groups; the fibrin glue group in hepatectomy (n=228) and in pancreatectomy (n=113), and the non-fibrin glue group in hepatectomy (n=94) and in pancreatectomy (n=24). In case of hepatectomy, the fibrin glue was sprayed on the cut-surface or anastomotic site of hepatico-jejunostomy. In case of pancreatectomy, the fibrin glue was sprayed on the anastomotic site of pancreato-jejunostomy or closed pancreatic stump. Results: In the hepatectomy group, uncontrolled ascites were more frequent in the fibrin glue group (p<0.05). The use of fibrin glue for both groups has been less frequent in recent years. Prevalence of biliary fistula was not significantly different between groups. Hospital stay in the fibrin glue group was significantly longer than that in the non-fibrin glue group, and was not significantly different between hepatectomy or pancreatectomy groups. There was no significant difference of any complications including pancreatic fistula between groups. Prevalence of pancreatic fistula was not significantly different between the fibrin glue group and the non-fibrin glue group. Conclusions: Use of fibrin glue did not prevent biliary or pancreatic fistula in patients who underwent hepatectomy and pancreatectomy with or without enteric anastomosis.
キーワード: Fibrin glue / Fistula / Hepatic resection / Pancreatic resection / Prevention
URI: http://hdl.handle.net/10069/30205
ISSN: 01726390
DOI: 10.5754/hge10079
権利: © H.G.E. Update Medical Publishing S.A.
資料タイプ: Journal Article
原稿種類: author
出現コレクション:030 学術雑誌論文

引用URI : http://hdl.handle.net/10069/30205

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