title: Transduodenal pancreatic juice drainage for preventing pancreatic fistula formation after distal pancreatectomy.
abstract: OBJECTIVE
  Pancreatic fistula is the most common and troublesome complication after distal pancreatectomy (DP). We developed a new surgical technique, transduodenal pancreatic juice drainage (TDPD), for preventing pancreatic fistulaformation after DP, and evaluated the efficacy of this procedure.
  
  
  METHODS
  We retrospectively studied 40 patients who underwent DP. These patients were divided into 2 groups:the group that underwent conventional DP without pancreatic stent insertion (CDP group) (n=25) and the group that underwent DP with TDPD (TDPD group) (n=15). A pancreatic stent was inserted distally into the main pancreatic duct from the papilla of Vatervia aduodenostomy, and continuous suction drainage was applied.
  
  
  RESULTS
  This procedure was performed on 15 patients, grade-A postoperativepancreatic fistula (POPF) was revealed in 1 patient (6.7%). However none of them developed clinical POPF.
  
  
  CONCLUSIONS
  We consider our TDPD technique to be effective for preventing POPF in patients who have undergone DP.
authors.affiliation: Department of Surgery, Social Insurance Yokohama Central Hospital, 268 Yamashita-cho, Naka-ku, Yokohama 231-8553, Japan. ooida.takatsugu@yokochu.jp
authors.forename: Takatsugu
authors.initials: T
authors.lastname: Oida
authors.forename: Kenji
authors.initials: K
authors.lastname: Mimatsu
authors.forename: Atsushi
authors.initials: A
authors.lastname: Kawasaki
authors.forename: Hiso
authors.initials: H
authors.lastname: Kanou
authors.forename: Youichi
authors.initials: Y
authors.lastname: Kuboi
authors.forename: Kazutoshi
authors.initials: K
authors.lastname: Kida
authors.forename: Sadao
authors.initials: S
authors.lastname: Amano
mesh_terms: D000368:Aged; D016009:Chi-Square Distribution; D004322:Drainage / Q000379:methods; D004386:Duodenum; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010180:Pancreatectomy; D010185:Pancreatic Fistula / Q000517:prevention & control*; D010189:Pancreatic Juice; D011183:Postoperative Complications / Q000517:prevention & control*; D012189:Retrospective Studies; D015607:Stents; D016896:Treatment Outcome