Clinical observation of bundle ligation of pancreatic stump in distal pancreatectomy
Xiong Wei
Dong Ke
Yu Xiaojiong
Gu Chun
Yang Yong
Abstract：Objective To analyze the safety,practicability and effectiveness of bundle ligation of pancreatic stump in distal pancreatectomy(DP).Methods Ninety patients who underwent DP in Sichuan Provincial People's Hospital from January 2015 to December 2018 were retrospectively analyzed;45 patients were treated with routine suture (group A) and 45 patients were treated with bundle ligation of pancreatic stump (group B).Incidences of postoperative pancreatic fistula and other complications were analyzed.Results The overall incidence rate of pancreatic fistula was 16.7％ (15/90).Incidence rates of pancreatic fistula in group A and group B were 28.9％ (13/45) and 4.4％ (2/45),with significant difference between groups (P ＜ 0.01).Intraoperative blood loss and abdominal drainage volume in group B were significantly less than those in group A[(256 ± 157)ml vs (367 ± 163) ml,(116 ± 80) ml vs (255 ± 75) ml] (both P ＜ 0.01).Incidence rate of other complications showed no obvious difference between groups (P ＞ 0.05).Conclusion Bundle ligation of pancreatic stump can significantly reduce the incidence of pancreatic fistula after distal pancreatectomy.
Keywords：Distal pancreatectomyPancreatic fistulaBundle ligation of pancreatic stump
Publication Date：2020-01-08
Online Publishing Date：2026-09-14(First online date of this platform, not the publication date of the document)
Pages：4( 75-78 )