The VIO soft-coagulation system can prevent pancreatic fistula following pancreatectomy

Abstract

This novel technique using the SC is an effective procedure for preventing the development of pancreatic fistula following pancreatectomy.

Soft coagulation, polyglycolic acid felt, and fibrin glue for prevention of pancreatic fistula after distal pancreatectomy

“…[1][2][3][4][5] Leakage from the major pancreas duct might be due to obstruction or stenosis of the proximal pancreas duct, as in papillary dysfunction, proximal pancreatitis, or pancreas lithiasis. In such situations, placement of a pancreas stent might be necessary to decompress the intraductal pressure.…”

“…5,6 Polyethylene glycolic acid (PGA) felt is a soft and fl exible absorbable nonwoven textile, and is widely used for tissue reinforcement. [7][8][9] Its attachment on a tissue is greatest when applied in combination with fi brin glue.…”

Closure method for thick pancreas stump after distal pancreatectomy: soft coagulation and polyglycolic acid felt with fibrin glue

“…Previous reports have assumed that the development of PF after DP is caused by leakage of pancreatic fluid from both the main and peripheral pancreatic ducts on the cut plane of the remnant pancreas [18][19][20][21]. Secure closure of both of the main and peripheral pancreatic ducts on the pancreatic stump is important to reduce the incidence of postoperative PF (POPF) after DP.…”

Long-term evolution of acinar-to-ductal metaplasia and β-cell mass after radiofrequency-assisted transection of the pancreas in a controlled large animal model

“…Radiofrequency (RF) energy has been used both experimentally and clinically to manage the pancreatic remnant after distal pancreatectomies to seal the main and secondary pancreatic ducts [20][21][22].…”