Ligamentum teres hepatis patch enhances the healing of pancreatic fistula after distal pancreatectomy

Wu, Chun; Xu, Wen Yan; Liu, Liang; Jiang, Long; Xu, Jin; Ni, Quan Xing; Liu, Chen; Lei, Yu

doi:10.1016/s1499-3872(13)60102-2

Cited by 13 publications

(16 citation statements)

References 22 publications

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“…Finally, 122 studies were included. Of those 122 studies, 110 studies 3, [13][14][15][17][18][19][20][21][22][111][112][113][114][115][116][117][118][119][120][121][122][123][124][125][126][127] were included in both qualitative synthesis and meta-analysis and 12 16,[128][129][130][131][132][133][134][135][136][137][138] only in the qualitative synthesis (eTable 2).…”

Section: Literature Search Resultsmentioning

confidence: 99%

Systematic review and meta-analysis of postoperative pancreatic fistula rates using the updated 2016 International Study Group Pancreatic Fistula definition in patients undergoing pancreatic resection with soft and hard pancreatic texture

Eshmuminov

Schneider

Tschuor

et al. 2018

HPB

101

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Section: Literature Search Resultsmentioning

confidence: 99%

Systematic review and meta-analysis of postoperative pancreatic fistula rates using the updated 2016 International Study Group Pancreatic Fistula definition in patients undergoing pancreatic resection with soft and hard pancreatic texture

Eshmuminov

Schneider

Tschuor

et al. 2018

HPB

101

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“…Hepatic round ligament (HRL), also called the ligamentum teres hepatis , is the remnant of the fetal umbilical vein and is connected to the falciform ligament. This ligament is well vascularized and extensible [ 16 ], and can therefore be harvested for enhancing venous- [ 17 ] or pancreatico-enterostomy[ 18 ].…”

Section: Introductionmentioning

confidence: 99%

Use of an Autologous Liver Round Ligament Flap Zeros Postoperative Bile Leak after Curative Resection of Hilar Cholangiocarcinoma

et al. 2015

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BackgroundPostoperative bile leak is a major surgical morbidity after curative resection with hepaticojejunostomy for hilar cholangiocarcinoma, especially in Bismuth-Corlette types III and IV. This retrospective study assessed the effectiveness and safety of an autologous hepatic round ligament flap (AHRLF) for reducing bile leak after hilar hepaticojejunostomy.MethodsNine type III and IV hilar cholangiocarcinoma patients were consecutively hospitalized for elective perihilar partial hepatectomy with hilar hepaticojejunostomy using an AHRLF between October 2009 and September 2013. The AHRLF was harvested to reinforce the perihilar hepaticojejunostomy. Main outcome measures included operative time, blood loss, postoperative recovery times, morbidity, bile leak, R0 resection rate, and overall survival.ResultsAll patients underwent uneventful R0 resection with hilar hepaticojejunostomy. No patient experienced postoperative bile leak.ConclusionsThe AHRLF was associated with lack of bile leak after curative perihilar hepatectomy with hepaticojejunostomy for hilar cholangiocarcinoma, without compromising oncologic safety, and is recommended in selected patients.

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“…On the other hand, Hackert et al described a successful technique of teres hepatis ligament patch as an additional supracapsular sealing structure for postoperative pancreatic fistula prevention after tumor enucleation from pancreas [ 16 ]. In a similar manner, Wu et al reported usage of ligamentum teres hepatis as a patch to cover the pancreatic stump in order to avoid pancreatic fistula [ 17 ]. During the operation, we also recalled Graham's Technique for the treatment of perforated ulcers [ 18 ], and hence we decided to synthesize these techniques.…”

Section: Discussionmentioning

confidence: 99%

A Novel Technique for Managing Pancreaticojejunal Anastomotic Leak after Pancreaticoduodenectomy

Egeli

Ünek

Özbilgin

et al. 2016

Case Reports in Surgery

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Pancreaticoduodenectomy (Whipple's procedure) remains the only definitive treatment option for tumors of the periampullary region. The most common and life-threatening complications following the procedure are pancreatic anastomotic leakage and subsequent fistula formation. When these complications occur, treatment strategy depends on the severity of anastomotic leakage, with patients with severe leakages requiring reoperation. The optimal surgical method used for reoperation is selected from among different options such as wide drainage, definitive demolition of the pancreaticojejunal anastomosis and performing a new one, or completion pancreatectomy. Here we present a novel, simple technique to manage severe pancreatic leakage via ligamentum teres hepatis patch.

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Ligamentum teres hepatis patch enhances the healing of pancreatic fistula after distal pancreatectomy

Cited by 13 publications

References 22 publications

Systematic review and meta-analysis of postoperative pancreatic fistula rates using the updated 2016 International Study Group Pancreatic Fistula definition in patients undergoing pancreatic resection with soft and hard pancreatic texture

Systematic review and meta-analysis of postoperative pancreatic fistula rates using the updated 2016 International Study Group Pancreatic Fistula definition in patients undergoing pancreatic resection with soft and hard pancreatic texture

Use of an Autologous Liver Round Ligament Flap Zeros Postoperative Bile Leak after Curative Resection of Hilar Cholangiocarcinoma

A Novel Technique for Managing Pancreaticojejunal Anastomotic Leak after Pancreaticoduodenectomy

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