caa a22 4500 606248331 CHVBK 20210128101349.0 cr unu---uuuuu 210128e20151201xx s 000 0 eng 10.1007/s12262-014-1129-z doi (NATIONALLICENCE)springer-10.1007/s12262-014-1129-z Routine Vascular Control Using the Nonabsorbable Polymer Ligating Clips in Open Pancreaticoduodenectomy—Early Postoperative Outcomes in Consecutive 98 Cases [Elektronische Daten] [Yonghua Chen, Singming Xie, Xubao Liu, Gang Mai] The purpose of this study was to evaluate the utility of the nonabsorbable polymer ligating clips during open pancreaticoduodenectomy. Ninety-eight consecutive patients underwent open pancreaticoduodenectomy using either the polymer clip (hem-o-lock R) system for gastroduodenal artery and right gastric artery control or conventional knot tying (n = 151) for these artery control. The two groups were similar regarding demographic data, preoperative/intraoperative characteristic, pathologic findings, anastomotic leakage, and intraperitoneal collections or abscess. There were no intraoperative complications. Overall, postpancreatectomy hemorrhage occurred in 26 patients (10.44%) including 16 patients (6.4%) with severe hemorrhage, for clip system group was 1% (1 of 98), 8.6% (13 of 151) for the conventional technique group (P = 0.011). Only one patient (1%) of clip group required intervention treatment (vascular complications unassociated with ligation), with no death. For conventional ligation group, a total of 12 patients (7.9%) underwent intervention treatment with two deaths. Eight of these patients were diagnosed with intraperitoneal hemorrhage from visceral artery pseudoaneurysms, which originated from the gastroduodenal artery in four patients, hepatic artery in one, common hepatic artery in two, and celiac trunk in one. Postoperative mortality was 1.6% (4 of 249), all in the conventional group. The polymer clip technique is easy, safe, and effective for control of the gastroduodenal artery and right gastric artery in the open pancreaticoduodenectomy. Association of Surgeons of India, 2014 Pancreaticoduodenectomy nationallicence Postpancreatectomy hemorrhage nationallicence Vascular control nationallicence PD : Pancreaticoduodenectomy nationallicence PPH : Postpancreatectomy hemorrhage nationallicence POPF : Postoperative pancreatic fistula nationallicence POD : Postoperative day nationallicence DPPAB : Delayed postpancreaticoduodenectomy arterial bleeding nationallicence Chen Yonghua Department of Hepatobiliopancreatic Surgery, West China Hospital, Sichuan University, 610041, Chengdu, China aut Xie Singming Department of Hepatobiliopancreatic Surgery, West China Hospital, Sichuan University, 610041, Chengdu, China aut Liu Xubao Department of Hepatobiliopancreatic Surgery, West China Hospital, Sichuan University, 610041, Chengdu, China aut Mai Gang Department of Hepatobiliopancreatic Surgery, West China Hospital, Sichuan University, 610041, Chengdu, China aut Indian Journal of Surgery Springer India 77(2015-12-01), 1432-1437 0972-2068 77<1432 2015 77 12262 https://doi.org/10.1007/s12262-014-1129-z text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s12262-014-1129-z text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Chen Yonghua Department of Hepatobiliopancreatic Surgery, West China Hospital, Sichuan University, 610041, Chengdu, China aut NATIONALLICENCE 700 1- Xie Singming Department of Hepatobiliopancreatic Surgery, West China Hospital, Sichuan University, 610041, Chengdu, China aut NATIONALLICENCE 700 1- Liu Xubao Department of Hepatobiliopancreatic Surgery, West China Hospital, Sichuan University, 610041, Chengdu, China aut NATIONALLICENCE 700 1- Mai Gang Department of Hepatobiliopancreatic Surgery, West China Hospital, Sichuan University, 610041, Chengdu, China aut NATIONALLICENCE 773 0- Indian Journal of Surgery Springer India 77(2015-12-01), 1432-1437 0972-2068 77<1432 2015 77 12262