Academic literature on the topic 'Distal pancreatectomy, pancreatic fistula, stapler, ultrasonic dissection'

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Journal articles on the topic "Distal pancreatectomy, pancreatic fistula, stapler, ultrasonic dissection"

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Holze, Magdalena, Martin Loos, Felix Hüttner, et al. "Cavitron ultrasonic surgical aspirator (CUSA) compared with conventional pancreatic transection in distal pancreatectomy: study protocol for the randomised controlled CUSA-1 pilot trial." BMJ Open 14, no. 4 (2024): e082024. http://dx.doi.org/10.1136/bmjopen-2023-082024.

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BackgroundPostoperative pancreatic fistula (POPF) remains the most common and serious complication after distal pancreatectomy. Many attempts at lowering fistula rates have led to unrewarding insignificant results as still up to 30% of the patients suffer from clinically relevant POPF. Therefore, the development of new innovative methods and procedures is still a cornerstone of current surgical research.The cavitron ultrasonic surgical aspirator (CUSA) device is a well-known ultrasound-based parenchyma transection method, often used in liver and neurosurgery which has not yet been thoroughly i
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Naito, Kei, Kazuyasu Shinmura, Takayuki Suzuki, Shintaro Maeda, Satoshi Kuboki, and Masayuki Ohtsuka. "Appropriate linear stapler selection for avoiding postoperative pancreatic fistula after distal pancreatectomy: A retrospective cohort study." Medicine 103, no. 40 (2024): e39954. http://dx.doi.org/10.1097/md.0000000000039954.

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Background: Despite the progress in surgical techniques and perioperative managements, the incidence of postoperative pancreatic fistula (POPF) after distal pancreatectomy (DP) remains high. Recently, pancreatic dissection using a linear stapler has been widely performed; however, risk factors influencing the occurrence of POPF after DP using a liner stapler is not fully understood. The purpose of this paper was to evaluate whether the relations between staple height and pancreatic thickness or main pancreatic duct (MPD) diameter influenced the incidence of POPF. Methods: Patients who underwen
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Lei, Haiming, Dong Xu, Xinghua Shi, and Koulan Han. "Ultrasonic Dissection versus Conventional Dissection for Pancreatic Surgery: A Meta-Analysis." Gastroenterology Research and Practice 2016 (2016): 1–7. http://dx.doi.org/10.1155/2016/6195426.

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Background. The role of ultrasonic dissection (UD) in pancreatic surgery remains controversial. The aim of this meta-analysis was to evaluate the clinical effect of UD in pancreatic surgery when compared with conventional dissection (CD).Materials and Methods. A comprehensive literature search was performed to identify eligible studies that compared UD with CD for pancreatic surgery in PubMed, EMBASE, Web of Science, and the Cochrane Library. Risk ratio (RR) or mean difference with 95% confidence interval (CI) was calculated.Results. Six studies were included with a total of 215 patients under
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Landoni, Luca, Matteo De Pastena, Martina Fontana, et al. "A randomized controlled trial of stapled versus ultrasonic transection in distal pancreatectomy." Surgical Endoscopy, September 13, 2021. http://dx.doi.org/10.1007/s00464-021-08724-3.

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Abstract Background The pancreatic transection method during distal pancreatectomy is thought to influence postoperative fistula rates. Yet, the optimal technique for minimizing fistula occurrence is still unclear. The present randomized controlled trial compared stapled versus ultrasonic transection in elective distal pancreatectomy. Methods Patients undergoing distal pancreatectomy from July 2018 to July 2020 at two high-volume institutions were considered for inclusion. Exclusion criteria were contiguous organ resection and a parenchymal thickness > 17 mm on intraoperative ultrasound. El
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Dissertations / Theses on the topic "Distal pancreatectomy, pancreatic fistula, stapler, ultrasonic dissection"

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Matteo, De Pastena. "Tri-Staple vs Ultrasonic Scalpel in Distal Pancreatectomy (TRUDY). A randomized controlled, multicenter, patient blinded, superiority trial." Doctoral thesis, 2021. http://hdl.handle.net/11562/1043812.

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Background: Several systematic reviews have investigated pancreatic stump management to reduce the postoperative pancreatic fistula (POPF) rate. The study aimed to evaluate if the parenchymal transection using the triple-row reinforced stapler decreases the incidence of POPF compared with ultrasonic transection after distal pancreatectomy (DP). Methods: a bicentric, phase 3, patient-blinded, randomized clinical trial was conducted. All patients submitted to elective DP from July 2018 through July 2020 were screened. Exclusion criteria were an extended resection, gastrointestinal resections or
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