Background
In accordance with previous reports of the utility of polyethylene glycolic acid (PGA) felt and fibrin glue for postoperative pancreatic fistula (POPF), we usually perform distal pancreatectomy (DP) with a PGA felt reinforcement stapler when treating a pancreatic stump with DP, then cover the stump with PGA felt and fibrin glue (the PPF method).
Methods
127 DP performed in our department between January 2008 and June 2021 were retrospectively analyzed to compare the risk factors of POPF and the postoperative course of patients receiving the PPF method of treatment versus those receiving the conventional treatment.
Results
In the PPF method, CR-POPF tended to decrease, and POPF showed a significant decrease. The duration of drainage and the length of postoperative hospitalization were also significantly shorter with the PPF method. The risk of CR-POPF significantly decreased with the PPF method if the pancreas was thick (> 13.5 mm) or the patients were obese.
Conclusions
The PPF method is useful for POPF in DP and is particularly effective when a thick pancreas or an obese patient is involved. Removing the drainage tube early in the PPF method may lead to early discharge.
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