A “rendezvous technique-for treating a pancreatic fistula after distal pancreatectomy

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• 作者：Daisuke Imai (1)
  Yo-ichi Yamashita (1)
  Toru Ikegami (1)
  Takeo Toshima (1)
  Norifumi Harimoto (1)
  Tomoharu Yoshizumi (1)
  Yuji Soejima (1)
  Ken Shirabe (1)
  Tetsuo Ikeda (1)
  Yoshihiko Maehara (1)
  
• 关键词：Rendezvous technique ; Distal pancreatectomy ; Pancreatic fistula
• 刊名：Surgery Today
• 出版年：2015
• 出版时间：January 2015
• 年：2015
• 卷：45
• 期：1
• 页码：96-100
• 全文大小：647 KB
• 参考文献：1. Vin Y, Sima CS, Getrajdman GI, Brown KT, Covey A, Brennan MF, Allen PJ. Management and outcomes of postpancreatectomy fistula, leak, and abscess: results of 908 patients resected at a single institution between 2000 and 2005. J Am Coll Surg. 2008;207:490-. CrossRef
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  3. Makino I, Kitagawa H, Nakagawara H, Tajima H, Ninomiya I, Fushida S, Fujimura T, Ohta T. The management of a remnant pancreatic stump for preventing the development of postoperative pancreatic fistulas after distal pancreatectomy: current evidence and our strategy. Surg Today. 2013;43(6):595-02. CrossRef
  4. Yamashita Y, Taketomi A, Fukuzawa K, Tsujita E, Harimoto N, Kitagawa D, Kuroda Y, Kayashima H, Wakasugi K, Maehara Y. Risk factors for and management of delayed intraperitoneal hemorrhage after pancreatic and biliary surgery. Am J Surg. 2007;193:454-. CrossRef
  5. Bhasin DK, Rana SS, Nanda M, Chandail VS, Gupta R, Kang M, Nagi B, Sinha SK, Singh K. Comparative evaluation of transpapillary drainage with nasopancreatic drain and stent in patients with large pseudocysts located near tail of pancreas. J Gastrointest Surg. 2011;15:772-. CrossRef
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  8. Tsuyuguchi T, Takada T, Kawarada Y, Nimura Y, Wada K, Nagino M, Mayumi T, Yoshida M, Miura F, Tanaka A, Yamashita Y, Hirota M, Hirata K, Yasuda H, Kimura Y, Neuhaus H, Strasberg S, Pitt H, Belghiti J, Belli G, Windsor JA, Chen MF, Kim SW, Dervenis C. Techniques of biliary drainage for acute cholecystitis: Tokyo Guidelines. J Hepatobiliary Pancreat Surg. 2007;14:46-1. CrossRef
  9. Aytekin C, Boyvat F, Yilmaz U, Harman A, Haberal M. Use of the rendezvous technique in the treatment of biliary anastomotic disruption in a liver transplant recipient. Liver Transpl. 2006;12:1423-. CrossRef
  10. Yoshiya S, Shirabe K, Matsumoto Y, Ikeda T, Soejima Y, Yoshizumi T, Uchiyama H, Ikegami T, Harimoto N, Maehara Y. Rendezvous ductoplasty for biliary anastomotic stricture after living donor liver transplantation. Transplantation. 2013;95(10):1278-3. CrossRef
  11. Ikegami T, Maeda T, Kayashima H, Oki E, Yoshizumi T, Sakaguchi Y, Toh Y, Shirabe K, Maehara Y. Soft coagulation, polyglycolic acid felt, and fibrin glue for prevention of pancreatic fistula after distal pancreatectomy. Surg Today. 2011;41(9):1224-. CrossRef
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  13. Pratt WB, Maithel SK, Vanounou T, Huang ZS, Callery MP, Vollmer CM Jr. Clinical and economic validation of the International Study Group of Pancreatic Fistula (ISGPF) classification scheme. Ann Surg. 2007;245:443-1. CrossRef
  14. Bakker OJ, van B
• 作者单位：Daisuke Imai (1)
  Yo-ichi Yamashita (1)
  Toru Ikegami (1)
  Takeo Toshima (1)
  Norifumi Harimoto (1)
  Tomoharu Yoshizumi (1)
  Yuji Soejima (1)
  Ken Shirabe (1)
  Tetsuo Ikeda (1)
  Yoshihiko Maehara (1)
  
  1. Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka, Fukuoka, 812-0054, Japan
  
• ISSN：1436-2813

文摘

Background Pancreatic fistulae are a major complication of distal pancreatectomy (DP). Some cases of severe pancreatic fistula require invasive procedures. There have been some reports concerning the effectiveness of pancreatic duct drainage through an endoscopic transpapillary approach for pancreatic fistulae. Case presentation We herein present a case of a pancreatic fistula after DP that was successfully treated with percutaneous pancreatic duct drainage, which was performed using a combined percutaneous and endoscopic approach, named the “rendezvous technique- In our case, we performed distal pancreatectomy with celiac artery resection for a locally advanced pancreatic body cancer. On postoperative day (POD) 7, the drain amylase level increased up to 37,460?IU/l. Computed tomography (CT) revealed peripancreatic fluid collections. On POD 10, we placed a catheter in the main pancreatic duct using the rendezvous technique. CT on POD 14 revealed a decrease in the size of the peripancreatic fluid collection, and contrast imaging from the drains on POD 22 revealed almost complete disappearance of the fluid collection. We withdrew the pigtail catheter on POD 27 and the percutaneous pancreatic duct drain on POD 36. This patient was discharged from our hospital on POD 40. Conclusion We herein report a new approach called the “rendezvous technique-for the management of pancreatic fistulae after DP that can be used instead of a stressful nasopancreatic tube.