The incidence of pancreatic fistula after distal pancreatectomy(DP) surgery is higher than that after pancreaticoduodenectomy. The effective prevention and treatment of pancreatic fistula is the key to guarantee the safety after DP surgery. Many risk factors can lead to pancreatic fistula after DP surgery, which are divided into non-technical factors and technical factors. However, the current analysis of the risk factors of pancreatic fistula after DP surgery is mostly retrospective studies, and the results are quite different. At present, there is no unified risk factor or prediction model for pancreatic fistula after DP surgery. The prevention and treatment of pancreatic fistula has always been the focus of pancreatic surgery. The prevention of pancreatic fistula after DP includes many measures, such as the treatment of pancreatic section and the ligation of main pancreatic duct, and the basic treatment after pancreatic fistula mainly includes acid inhibition, enzyme inhibition and anti-inflammation. How to reduce pancreatic fistula after DP surgery remains a challenge now.
Chinese Journal of Operative Procedures of General Surgery(Electronic Edition)