Flavio G Rocha, Flavio G Rocha, Hedinger Chair of Surgical Oncology and Physician-in-Chief at OHSU Knight Cancer Institute, shared a post by Annals of Surgery on X, adding:
“The efforts of the investigators for trying to find yet another way to reduce POPF. My personal pancreatic fistula mitigation strategy:
1) Blumgart anastomosis.
2) Periop pasireotide.
3) Geenen stent thru PJ.
4) Circumferential omental flap.
5) Closed drain to gravity.
What do you do?”
Quoting Annals of Surgery‘s post:
In a multicenter RCT of patients undergoing pancreaticojejunostomy after pancreatoduodenectomy, double-layer polyglycolic acid felt did not reduce rates of clinically relevant postoperative pancreatic fistula.”
Title: Effect of Double Layer Polyglycolic Acid Felt for Reducing Pancreatic Fistula After Pancreatoduodenectomy Results of a Multicenter Randomized Control Trial (PLANET-PJ trial)
Authors: Shibuya, Kazuto, Park, Joon Seong, Kwon, Wooil, Kawai, Manabu, Yoshioka, Isaku, Hashimoto, Daisuke, Takami, Hideki, Lim, Chang-Sup, Seo, Hyung Il, Nagai, Minako, Inoue, Yosuke, Yoon, Yoo-Seok, Lee, Seung Eun, Baba, Hideo, Choi, Sae Byeol, Lee, Hyeon Kook, Do Yang, Jae, Kimura, Yasutoshi, Hwang, Ho Kyoung, Nah, Yang Won, Tani, Masaji, Akahoshi, Keiichi, Han, In Woong, Nagakawa, Yuichi, Eguchi, Hidetoshi, Yamada, Suguru, Satoi, Sohei, Sho, Masayuki, Kitayama, Megumi, Wan, Ke, Shimokawa, Toshio, Yamaue, Hiroki, Jang, Jin-Young, Fujii, Tsutomu
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