Detailed Abstract
[Poster - Pancreas Disease/Surgery]
[P112] Does low level of drain amylase warrant the absence of postoperative pancreatic fistula after laparoscopic distal pancreatectomy?
In Gun HYUN, Yoo-Seok YOON, Ho-Seong HAN, Jai Young CHO, YoungRok CHOI, Sungho KIM, Kil Hwan KIM
Department of Surgery, Seoul National University Bundang Hospital , Korea, Korea
Introduction : The definition of postoperative pancreatic fistula (POPF) by the international study group in pancreatic surgery (ISGPS) is based on the drainage amylase level. However, this definition is valid as long as abdominal drains are well positioned around the pancreatic anastomosis or stump. The aim of this study is to evaluate postoperative outcomes and the location of drains in postoperative computed tomography (CT) scan in patients with low level of the drainage amylase after laparoscopic distal pancreatectomy
Methods : Among 250 patients who underwent LDP from January 2004 to December 2016, 181 patients in whom drain amylase and postoperative CT scan were checked were selected for this study.
Results : Eighty-three (43.7%) patients had a low level of drainage amylase (
Conclusions : The results suggest that ISGPS definition of POPF based on the criteria of the drainage amylase level has some limitation in application to distal pancreatectomy due to frequent malposition or malfunction of the abdominal drain.
Methods : Among 250 patients who underwent LDP from January 2004 to December 2016, 181 patients in whom drain amylase and postoperative CT scan were checked were selected for this study.
Results : Eighty-three (43.7%) patients had a low level of drainage amylase (
Conclusions : The results suggest that ISGPS definition of POPF based on the criteria of the drainage amylase level has some limitation in application to distal pancreatectomy due to frequent malposition or malfunction of the abdominal drain.
SESSION
Poster
Poster / Exhibition Hall and Lobby(2F) 1/1/1970 9:00 AM - 9:00 AM