[Pancreatic duct occlusion with fibrin (glue) to protect the pancreatico-digestive anastomosis after resection of the head of the pancreas in oncologic surgery].
The PDO with FS represents a technically simple, quick and efficient method for the protection of pancreatic-jejunal anastomosis, which is endangered by dehiscences. We could prove--first, in an animal experimental, then in a clinical study of 93 patients--that neither subsequent dehiscence nor a pancreatic fistula occurred. Also, the loss of exo- and endocrine functions is low and can rather be considered as an expression of the extended resection of the pancreatic parenchyma in the scope of the oncological intervention.
Waclawiczek
H W
HW
I. Chirurgische Abteilung, Landeskrankenanstalten Salzburg.
Boeckl
O
O
Lorenz
D
D
D000328:Adult; D014670:Ampulla of Vater / Q000473:pathology / Q000601:surgery*; D000714:Anastomosis, Surgical / Q000379:methods*; D000818:Animals; D002908:Chronic Disease; D003138:Common Bile Duct Neoplasms / Q000401:mortality / Q000473:pathology / Q000601:surgery*; D005260:Female; D015718:Fibrin Tissue Adhesive / Q000008:administration & dosage*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010183:Pancreatic Ducts / Q000473:pathology / Q000601:surgery*; D010190:Pancreatic Neoplasms / Q000401:mortality / Q000473:pathology / Q000601:surgery*; D016577:Pancreaticoduodenectomy / Q000379:methods*; D010195:Pancreatitis / Q000401:mortality / Q000473:pathology / Q000601:surgery*; D011183:Postoperative Complications / Q000473:pathology / Q000517:prevention & control; D013529:Surgical Wound Dehiscence / Q000473:pathology / Q000517:prevention & control; D013552:Swine
D015718:Fibrin Tissue Adhesive
Die Pankreasgangokklusion mit Fibrin(-kleber) zum Schutz der pankreatiko-digestiven Anastomose nach Pankreaskopfresektion in der onkologischen Chirurgie.