icon fsr

文献詳細

雑誌文献

臨床外科77巻3号

2022年03月発行

文献概要

特集 肝胆膵術後合併症—どう防ぐ? どう対処する? 胆道・膵臓外科

膵切除術後の膵液瘻併存術後出血への対応

著者: 瀧下智恵1 永川裕一1 小薗真吾1 刑部弘哲1 中川直哉1 中川暢彦1 大澤高陽1 本多正幸1

所属機関: 1東京医科大学消化器・小児外科学分野

ページ範囲:P.300 - P.304

文献購入ページに移動
【ポイント】
◆膵切除術に特有の膵液瘻に関連した遅発性出血に対する予防,注意点を知っておく.
◆出血時には迅速な対応が必要なため,各施設における対策・処置についてチーム内で共有しておくことが重要である.
◆止血処置のそれぞれの利点,欠点について確認しておく.

参考文献

1)Kimura W, Miyata H, Gotoh M, et al:A pancreaticoduodenectomy risk model derived from 8575 cases from a national single-race population(Japanese)using a web-based data entry system:the 30-day and in-hospital mortality rates for pancreaticoduodenectomy. Ann Surg 259:773-780, 2014
2)Swanson RS, Pezzi CM, Mallin K, et al:The 90-day mortality after pancreatectomy for cancer is double the 30-day mortality:more than 20,000 resections from the National Cancer Data Base. An Surg Oncol 21:4059-4067, 2014
3)Kakeji Y, Udagawa H, Unno M, et al:Annual report of National Clinical Database in gastroenterological surgery 2015. Nihon Shokaki Geka Gakkai Zashi 50:166-176, 2017
4)Marubashi S, Takahashi A, Kakeji Y, et al:Surgical outcomes in gastroenterological surgery in Japan:report of the National Clinical Database 2011-2019. Ann Gastroenterol Surg 5:639-658, 2021
5)Aoki S, Miyata H, Konno H, et al:Risk factors of serious postoperative complications after pancreaticoduodenectomy and risk calculators for predicting postoperative complications:a nationwide study of 17,564 patients in Japan. J Hepatobiliary-Pancreat Sci 24:243-251, 2017
6)Wente MN, Veit JA, Bassi C, et al:Postpancreatectomy hemorrhage(PPH):an International Study Group of Pancreatic Surgery(ISGPS)definition. Surgery 142:20-25, 2007
7)Darnis B, Lebeau R, Chopin-Laly X, et al:Postpancreatectomy hemorrhage(PPH):predictors and management from a prospective database. Langenbecks Arch Surg 398:441-448, 2013
8)Wellner UF, Kulemann B, Lapshyn H, et al:Postpancreatectomy hemorrhage:incidence, treatment, and risk factors in over 1,000 pancreatic resections. J Gastrointest Surg 18:464-475, 2014
9)Khalsa BS, Imagawa DK, Chen JI, et al:Evolution in the treatment of delayed postpancreatectomy hemorrhage:surgery to interventional radiology. Pancreas 44:953-958, 2015
10)Lu JW, Ding HF, Wu XN, et al:Intra-abdominal hemorrhage following 739 consecutive pancreaticoduodenectomy:risk factors and treatments. J Gastroenterol Hepatol 34:1100-1107, 2019
11)de Castro SM, Kuhlmann KF, Busch OR, et al:Risk factors of massive bleeding related to pancreatic leak after pancreaticoduodenectomy. J Am Coll Surg 201:554-559, 2005
12)Trede M, Schwall G:The complication of pancreatectomy. Ann Surg:39-47, 1988
13)Cullen JJ, Sarr MG, Ilstrup DM:Pancreatic anastomotic leak after pancreaticoduodenectomy:incidence, significance, and management. Am J Surg 168:295-298, 1994
14)Palumbo D, Tamburrino D, Partelli S, et al:Before sentinel bleeding:early prediction of postpancreatectomy hemorrhage(PPH)with a CT-based scoring system. Eur Radiol 31:6879-6888, 2021
15)de Castro SM, Kuhlmann KF, Busch OR, et al:Delayed massive hemorrhage after pancreatic and biliary surgery:embolization or surgery? Ann Surg 241:85-91, 2005
16)Tani M, Kawai M, Hirono S, et al:Use of omentum or falciform ligament does not decrease complications after pancreaticoduodenectomy:nationwide survey of the Japanese Society of Pancreatic Surgery. Surgery 151:183-191, 2012
17)Abe N, Sugiyama M, Suzuki Y, et al:Falciform ligament in pancreatoduodenectomy for protection of skeletonized and divided vessels. J Hepatobiliary-Pancreat Surg 16:184-188, 2009
18)Mussle B, Wierick A, Distler M, et al:Falciform ligament wrap for prevention of gastroduodenal artery bleed after pancreatoduodenectomy. J Surg Res 207:215-222, 2017
19)岡田健司郎,村上義昭,上村健一郎,他:膵切除後出血予防のための肝円索パッチ.手術72:1667-1673,2018
20)Asari S, Matsumoto I, Toyama H, et al:Recommendation of treatment strategy for postpancreatectomy hemorrhage:lessons from a single-center experience in 35 patients. Pancreatology 16:454-463, 2016
21)Roulin D, Cerantola Y, Demartines N, et al:Systematic review of delayed postoperative hemorrhage after pancreatic resection. J Gastrointest Surg 15:1055-1062, 2011
22)Limongelli P:Management of delayed postoperative hemorrhage after pancreaticoduodenectomy. Arch Surg 43:1001-1007, 2008
23)Van Oosten AF, Smits FJ, Van Den Heuvel DAF, et al:Diagnosis and management of postpancreatectomy hemorrhage:a systematic review and meta-analysis. HPB 21:953-961, 2019
24)Pang TCY, Maher R, Gananadha S, et al:Peripancreatic pseudoaneurysms:a management-based classification system. Surg Endosc 28:2027-2038, 2014
25)Maehira H, Iida H, Mori H, et al:Superior perianastomotic fluid collection in the early postoperative period affects pseudoaneurysm occurrence after pancreaticoduodenectomy. Langenbecks Arch Surg 406:1461-1468, 2021
26)Lee JH, Hwang DW, Lee SY, et al:Clinical features and management of pseudoaneurysmal bleeding after pancreatoduodenectomy. Am Surg 78:309-317, 2012
27)Hasegawa T, Ota H, Matsuura T, et al:Endovascular treatment of hepatic artery pseudoaneurysm after pancreaticoduodenectomy:risk factors associated with mortality and complications. J Vasc Interv Radiol 28:50-59 e55, 2017
28)Nakai M, Sato H, Sato M, et al:Endovascular stenting and stent-graft repair of a hemorrhagic superior mesenteric artery pseudoaneurysm and dissection associated with pancreaticoduodenectomy. J Vasc Interv Radiol 23:1381-1384, 2012
29)Onizawa S, Hamano M, Tsuchiya A, et al:Successful treatment of pseudoaneurysm rupture after pylorus preserving pancreaticoduodenectomy by covered stent placement. Surg Technol Int 22:77-82, 2012
30)Pedersoli F, Isfort P, Keil S, et al:Stentgraft implantation for the treatment of postoperative hepatic artery pseudoaneurysm. Cardiovasc Intervent Radio 39:575-581, 2016
31)Ching KC, Santos E, McCluskey KM, et al:Covered stents and coil embolization for treatment of postpancreatectomy arterial hemorrhage. J Vasc Interv Radiol 27:73-39, 2016
32)Gwon DI, Ko GY, Sung KB, et al:Endovascular management of extrahepatic artery hemorrhage after pancreatobiliary surgery:clinical features and outcomes of transcatheter arterial embolization and stent-graft placement. Am J Roentgenol 196:W627-W634, 2011
33)You Y, Choi SH, Choi DW, et al:Long-term clinical outcomes after endovascular management of ruptured pseudoaneurysm in patients undergoing pancreaticoduodenectomy. Ann Surg Treat Res 96:237-249, 2019
34)Tada T, Natsuaki M, Morimoto T, et al:Duration of dual antiplatelet therapy and long-term clinical outcome after coronary drug-eluting stent implantation. Circ Cardiovasc Interv 5:381-391, 2012

掲載誌情報

出版社:株式会社医学書院

電子版ISSN:1882-1278

印刷版ISSN:0386-9857

雑誌購入ページに移動
icon up
あなたは医療従事者ですか?