Intraoperative pancreatography using an endoscopic naso-pancreatic drainage tube for the prevention of pancreatic fistula after local pancreatic resection.
OBJECTIVE
Local pancreatic resections can avoid the unnecessary resection of the normal pancreatic parenchyma in comparison with standard pancreatic resection. However, the incidence of pancreatic fistula after local pancreatic resection is high, and still responsible for most morbidity and mortality.


METHODS
We reviewed 6 patients who underwent intraoperative pancreatography using an endoscopic naso-pancreatic drainage (ENPD) tube during local pancreatic resection for the prevention of postoperative pancreatic fistula.


RESULTS
One patient had injury to the main pancreatic duct during surgery, and transient pancreatic fistula of grade B occurred. In this patient, ENPD tube was left in place for the management the pancreatic fistula, resulted in a favorable outcome. Other 5 patients showed no postoperative complications including pancreatic fistula.


CONCLUSIONS
Intraoperative pancreatography using ENPD tube is a simple technique and useful for the prevention of pancreatic fistula after local pancreatic resection.
Kuroki
Tamotsu
T
Department of Surgery, Nagasaki University, Graduate School of Biomedical Sciences 1-7-1 Sakamoto, Nagasaki 852-8501, Japan. tkuroki-gi@umin.ac.jp
Tajima
Yoshitsugu
Y
Tsuneoka
Noritsugu
N
Adachi
Tomohiko
T
Kanematsu
Takashi
T
D000368:Aged; D000369:Aged, 80 and over; D002760:Cholangiopancreatography, Endoscopic Retrograde; D004322:Drainage / Q000295:instrumentation*; D005260:Female; D006801:Humans; D007430:Intraoperative Care; D007441:Intubation, Gastrointestinal / Q000295:instrumentation*; D008297:Male; D008875:Middle Aged; D010180:Pancreatectomy / Q000379:methods*; D010185:Pancreatic Fistula / Q000000981:diagnostic imaging / Q000517:prevention & control*; D010190:Pancreatic Neoplasms / Q000000981:diagnostic imaging / Q000601:surgery*; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000517:prevention & control*; D016896:Treatment Outcome