Use of TachoSil® patches to prevent pancreatic leaks after distal pancreatectomy: A prospective, multicenter, randomized controlled study

Joon Seong Park, Doo Ho Lee, Jin Young Jang, Youngmin Han, Dong Sup Yoon, Jae Keun Kim, Ho Seong Han, Yooseok Yoon, Daewook Hwang, Chang Moo Kang, Ho Kyoung Hwang, Woo Jung Lee, Jinseok Heo, Ye Rim Chang, Mee Joo Kang, Yong Chan Shin, Jihoon Chang, Hongbeom Kim, Woohyun Jung, Sun Whe Kim

Research output: Contribution to journalArticle

28 Citations (Scopus)

Abstract

Background We performed a prospective, multicenter, randomized controlled study to investigate the clinical outcomes, including postoperative pancreatic fistulas (POPF), after using the TachoSil® patch in distal pancreatectomy (NCT01550406). Methods Between June 2012 and September 2014, 101 patients at five centers were randomized into Control (n = 53) and TachoSil (n = 48) groups. In all patients, the pancreas was resected using a stapler with Endo-GIA™ staples. The TachoSil patch was wrapped around the pancreatic stump only in the TachoSil group, not in Control group. Results The patient characteristics, including age and diagnosis, were comparable in both groups. The mean operation time (159.4 vs. 172.3 min, P = 0.081) and postoperative hospital stay (10.0 vs. 9.7 days, P = 0.279) were similar in the Control and TachoSil groups, respectively. The overall incidence of POPF was 62.4% (n = 63). The distribution of grades A, B, and C POPF was similar in the Control (n = 14/14/1) and TachoSil (n = 23/11/0) groups, as were the overall incidence (54.7% vs. 70.8%, P = 0.095) and the incidence of grade B and C POPF (28.3% vs. 22.9%, P = 0.536). Conclusion This study showed that the TachoSil® patch did not reduce the incidence of POPF after distal pancreatectomy. Highlight The authors performed a prospective, multicenter, ramdomized controlled study to investigate the efficacy of TachoSil® patches in preventing pancreatic fistula, the most frequent and serious complication after distal pancreatectomy, for which effective prevention and management methods remain lacking. The patch did not reduce the incidence of postoperative pancreatic fistula.

Original languageEnglish
Pages (from-to)110-117
Number of pages8
JournalJournal of Hepato-Biliary-Pancreatic Sciences
Volume23
Issue number2
DOIs
Publication statusPublished - 2016 Feb 1

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Pancreatectomy
Pancreatic Fistula
Incidence
Control Groups
TachoSil
Pancreas
Length of Stay

All Science Journal Classification (ASJC) codes

  • Medicine(all)

Cite this

Park, Joon Seong ; Lee, Doo Ho ; Jang, Jin Young ; Han, Youngmin ; Yoon, Dong Sup ; Kim, Jae Keun ; Han, Ho Seong ; Yoon, Yooseok ; Hwang, Daewook ; Kang, Chang Moo ; Hwang, Ho Kyoung ; Lee, Woo Jung ; Heo, Jinseok ; Chang, Ye Rim ; Kang, Mee Joo ; Shin, Yong Chan ; Chang, Jihoon ; Kim, Hongbeom ; Jung, Woohyun ; Kim, Sun Whe. / Use of TachoSil® patches to prevent pancreatic leaks after distal pancreatectomy : A prospective, multicenter, randomized controlled study. In: Journal of Hepato-Biliary-Pancreatic Sciences. 2016 ; Vol. 23, No. 2. pp. 110-117.
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title = "Use of TachoSil{\circledR} patches to prevent pancreatic leaks after distal pancreatectomy: A prospective, multicenter, randomized controlled study",
abstract = "Background We performed a prospective, multicenter, randomized controlled study to investigate the clinical outcomes, including postoperative pancreatic fistulas (POPF), after using the TachoSil{\circledR} patch in distal pancreatectomy (NCT01550406). Methods Between June 2012 and September 2014, 101 patients at five centers were randomized into Control (n = 53) and TachoSil (n = 48) groups. In all patients, the pancreas was resected using a stapler with Endo-GIA™ staples. The TachoSil patch was wrapped around the pancreatic stump only in the TachoSil group, not in Control group. Results The patient characteristics, including age and diagnosis, were comparable in both groups. The mean operation time (159.4 vs. 172.3 min, P = 0.081) and postoperative hospital stay (10.0 vs. 9.7 days, P = 0.279) were similar in the Control and TachoSil groups, respectively. The overall incidence of POPF was 62.4{\%} (n = 63). The distribution of grades A, B, and C POPF was similar in the Control (n = 14/14/1) and TachoSil (n = 23/11/0) groups, as were the overall incidence (54.7{\%} vs. 70.8{\%}, P = 0.095) and the incidence of grade B and C POPF (28.3{\%} vs. 22.9{\%}, P = 0.536). Conclusion This study showed that the TachoSil{\circledR} patch did not reduce the incidence of POPF after distal pancreatectomy. Highlight The authors performed a prospective, multicenter, ramdomized controlled study to investigate the efficacy of TachoSil{\circledR} patches in preventing pancreatic fistula, the most frequent and serious complication after distal pancreatectomy, for which effective prevention and management methods remain lacking. The patch did not reduce the incidence of postoperative pancreatic fistula.",
author = "Park, {Joon Seong} and Lee, {Doo Ho} and Jang, {Jin Young} and Youngmin Han and Yoon, {Dong Sup} and Kim, {Jae Keun} and Han, {Ho Seong} and Yooseok Yoon and Daewook Hwang and Kang, {Chang Moo} and Hwang, {Ho Kyoung} and Lee, {Woo Jung} and Jinseok Heo and Chang, {Ye Rim} and Kang, {Mee Joo} and Shin, {Yong Chan} and Jihoon Chang and Hongbeom Kim and Woohyun Jung and Kim, {Sun Whe}",
year = "2016",
month = "2",
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doi = "10.1002/jhbp.310",
language = "English",
volume = "23",
pages = "110--117",
journal = "Journal of Hepato-Biliary-Pancreatic Sciences",
issn = "1868-6974",
publisher = "Springer Verlag",
number = "2",

}

Park, JS, Lee, DH, Jang, JY, Han, Y, Yoon, DS, Kim, JK, Han, HS, Yoon, Y, Hwang, D, Kang, CM, Hwang, HK, Lee, WJ, Heo, J, Chang, YR, Kang, MJ, Shin, YC, Chang, J, Kim, H, Jung, W & Kim, SW 2016, 'Use of TachoSil® patches to prevent pancreatic leaks after distal pancreatectomy: A prospective, multicenter, randomized controlled study', Journal of Hepato-Biliary-Pancreatic Sciences, vol. 23, no. 2, pp. 110-117. https://doi.org/10.1002/jhbp.310

Use of TachoSil® patches to prevent pancreatic leaks after distal pancreatectomy : A prospective, multicenter, randomized controlled study. / Park, Joon Seong; Lee, Doo Ho; Jang, Jin Young; Han, Youngmin; Yoon, Dong Sup; Kim, Jae Keun; Han, Ho Seong; Yoon, Yooseok; Hwang, Daewook; Kang, Chang Moo; Hwang, Ho Kyoung; Lee, Woo Jung; Heo, Jinseok; Chang, Ye Rim; Kang, Mee Joo; Shin, Yong Chan; Chang, Jihoon; Kim, Hongbeom; Jung, Woohyun; Kim, Sun Whe.

In: Journal of Hepato-Biliary-Pancreatic Sciences, Vol. 23, No. 2, 01.02.2016, p. 110-117.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Use of TachoSil® patches to prevent pancreatic leaks after distal pancreatectomy

T2 - A prospective, multicenter, randomized controlled study

AU - Park, Joon Seong

AU - Lee, Doo Ho

AU - Jang, Jin Young

AU - Han, Youngmin

AU - Yoon, Dong Sup

AU - Kim, Jae Keun

AU - Han, Ho Seong

AU - Yoon, Yooseok

AU - Hwang, Daewook

AU - Kang, Chang Moo

AU - Hwang, Ho Kyoung

AU - Lee, Woo Jung

AU - Heo, Jinseok

AU - Chang, Ye Rim

AU - Kang, Mee Joo

AU - Shin, Yong Chan

AU - Chang, Jihoon

AU - Kim, Hongbeom

AU - Jung, Woohyun

AU - Kim, Sun Whe

PY - 2016/2/1

Y1 - 2016/2/1

N2 - Background We performed a prospective, multicenter, randomized controlled study to investigate the clinical outcomes, including postoperative pancreatic fistulas (POPF), after using the TachoSil® patch in distal pancreatectomy (NCT01550406). Methods Between June 2012 and September 2014, 101 patients at five centers were randomized into Control (n = 53) and TachoSil (n = 48) groups. In all patients, the pancreas was resected using a stapler with Endo-GIA™ staples. The TachoSil patch was wrapped around the pancreatic stump only in the TachoSil group, not in Control group. Results The patient characteristics, including age and diagnosis, were comparable in both groups. The mean operation time (159.4 vs. 172.3 min, P = 0.081) and postoperative hospital stay (10.0 vs. 9.7 days, P = 0.279) were similar in the Control and TachoSil groups, respectively. The overall incidence of POPF was 62.4% (n = 63). The distribution of grades A, B, and C POPF was similar in the Control (n = 14/14/1) and TachoSil (n = 23/11/0) groups, as were the overall incidence (54.7% vs. 70.8%, P = 0.095) and the incidence of grade B and C POPF (28.3% vs. 22.9%, P = 0.536). Conclusion This study showed that the TachoSil® patch did not reduce the incidence of POPF after distal pancreatectomy. Highlight The authors performed a prospective, multicenter, ramdomized controlled study to investigate the efficacy of TachoSil® patches in preventing pancreatic fistula, the most frequent and serious complication after distal pancreatectomy, for which effective prevention and management methods remain lacking. The patch did not reduce the incidence of postoperative pancreatic fistula.

AB - Background We performed a prospective, multicenter, randomized controlled study to investigate the clinical outcomes, including postoperative pancreatic fistulas (POPF), after using the TachoSil® patch in distal pancreatectomy (NCT01550406). Methods Between June 2012 and September 2014, 101 patients at five centers were randomized into Control (n = 53) and TachoSil (n = 48) groups. In all patients, the pancreas was resected using a stapler with Endo-GIA™ staples. The TachoSil patch was wrapped around the pancreatic stump only in the TachoSil group, not in Control group. Results The patient characteristics, including age and diagnosis, were comparable in both groups. The mean operation time (159.4 vs. 172.3 min, P = 0.081) and postoperative hospital stay (10.0 vs. 9.7 days, P = 0.279) were similar in the Control and TachoSil groups, respectively. The overall incidence of POPF was 62.4% (n = 63). The distribution of grades A, B, and C POPF was similar in the Control (n = 14/14/1) and TachoSil (n = 23/11/0) groups, as were the overall incidence (54.7% vs. 70.8%, P = 0.095) and the incidence of grade B and C POPF (28.3% vs. 22.9%, P = 0.536). Conclusion This study showed that the TachoSil® patch did not reduce the incidence of POPF after distal pancreatectomy. Highlight The authors performed a prospective, multicenter, ramdomized controlled study to investigate the efficacy of TachoSil® patches in preventing pancreatic fistula, the most frequent and serious complication after distal pancreatectomy, for which effective prevention and management methods remain lacking. The patch did not reduce the incidence of postoperative pancreatic fistula.

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DO - 10.1002/jhbp.310

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JO - Journal of Hepato-Biliary-Pancreatic Sciences

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