Fig 1.
Our basic therapeutic strategies for postoperative pancreatic fistula after distal pancreatectomy.
†High-grade temperature ≥ 38.5°C and/or high inflammatory responses. ‡Intraoperative drain is kept and exchanged once a week until the volume of discharge decreases. CT: computer tomography, DP: distal pancreatectomy, POPF: postoperative pancreatic fistula, PFCs: peripancreatic fluid collections.
Fig 2.
Flowchart of the subclassification of grade B POPF.
DP: distal pancreatectomy, POPF: postoperative pancreatic fistula, BL: biochemical leak, PFCs: peripancreatic fluid collections, TAE: transcatheter arterial embolization, EPD: endoscopic pancreatic drainage, EUS: endoscopic ultrasonography.
Table 1.
Characteristics of patients (n = 259) who underwent distal pancreatectomy.
Table 2.
Management of grade B postoperative pancreatic fistula after distal pancreatectomy.
Table 3.
Comparison of the perioperative characteristics and outcomes among patients with grade B postoperative pancreatic fistula and those with biochemical leak.
Table 4.
Predictive factors for peripancreatic fluid infection after distal pancreatectomy.
Fig 3.
Cut-off value of the CT value of the infected PFCs using ROC curve analysis.
AUC: area under curve, CT: computed tomography, HU: Hounsfield units, ROC: receiver operating characteristic, PFCs: peripancreatic fluid collections, PPV: positive predictive value, NPV: negative predictive value.
Table 5.
Drain amylase level in grade B postoperative pancreatic fistula patients.