Authors :
Dr. Shahbaz Khan; Dr. Muhib Ullah; Dr. Muhammad Ayub; Dr. Jamshed Alam; Dr. Zahra Alam Jan
Volume/Issue :
Volume 7 - 2022, Issue 9 - September
Google Scholar :
https://bit.ly/3IIfn9N
Scribd :
https://bit.ly/3Eo7JCL
DOI :
https://doi.org/10.5281/zenodo.7160286
Abstract :
Introduction: Distal pancreatectomy (DP) is
a preferred therapy for pancreatic disorders that affect
just the body and tail of the pancreas and do not include
the head. Various methods are in practice for the stump
closure after PD. The current study assesses the
comparison of the autologous patch, hand sutured, and
staple in terms of postoperative complications and
hospital stays in stump closure after DP. Method: A
prospective study was conducted in patients who
underwent stump closure after DP between August 2017
and March 2022 at Hayatabad Medical Complex,
Peshawar, Pakistan. After giving informed consent, the
patient was divided into three groups, including the
autologous patch group (APG), hand sutured group
(HSG), and stapled group (SG). The outcome of the
current study was operation time, intraoperative
bleeding, POPF, and hospital stay. The statistical
analysis was carried out using SPSS v25. Results: The
mean operation time was observed lowest in the APG
while highest in the SG. In the SG, most of the patients
were fell in ASA grade ranged from I to III, while most
of the APG patients were fell in ASA grade I. The
patients with grade C POPF was high in the HSG,
whereas the grade B POPF was high in the SG. Based
on CDC, the grade V postoperative complications were
high in the HSG and SG. The hospital stay was
observed less in patients who underwent autologous
patch surgery compared to HSG and SG. Conclusion:
The current study highlighted that an autologous patch
was superior to hand-sewn stump closure after DP in
terms of the operation time, POPF, postoperative
complications based on CDC, and hospital stay.
Whereas the patients presented almost the same
postoperative complications who underwent autologous
patch and stapled stump closure.
Keywords :
Distal pancreatectomy, stump closure, postoperative complications.
Introduction: Distal pancreatectomy (DP) is
a preferred therapy for pancreatic disorders that affect
just the body and tail of the pancreas and do not include
the head. Various methods are in practice for the stump
closure after PD. The current study assesses the
comparison of the autologous patch, hand sutured, and
staple in terms of postoperative complications and
hospital stays in stump closure after DP. Method: A
prospective study was conducted in patients who
underwent stump closure after DP between August 2017
and March 2022 at Hayatabad Medical Complex,
Peshawar, Pakistan. After giving informed consent, the
patient was divided into three groups, including the
autologous patch group (APG), hand sutured group
(HSG), and stapled group (SG). The outcome of the
current study was operation time, intraoperative
bleeding, POPF, and hospital stay. The statistical
analysis was carried out using SPSS v25. Results: The
mean operation time was observed lowest in the APG
while highest in the SG. In the SG, most of the patients
were fell in ASA grade ranged from I to III, while most
of the APG patients were fell in ASA grade I. The
patients with grade C POPF was high in the HSG,
whereas the grade B POPF was high in the SG. Based
on CDC, the grade V postoperative complications were
high in the HSG and SG. The hospital stay was
observed less in patients who underwent autologous
patch surgery compared to HSG and SG. Conclusion:
The current study highlighted that an autologous patch
was superior to hand-sewn stump closure after DP in
terms of the operation time, POPF, postoperative
complications based on CDC, and hospital stay.
Whereas the patients presented almost the same
postoperative complications who underwent autologous
patch and stapled stump closure.
Keywords :
Distal pancreatectomy, stump closure, postoperative complications.
