Impact of continuous local lavage on pancreatic juice-related postoperative complications: Three case reports

Figure 3 Case 2. A: Pancreatectomy was performed using a linear stapler, and we placed a drain near the staple line; B: Contrast computed tomography on postoperative day (POD) 9 revealed that intractable pancreatic fistula had led to an intraperitoneal abscess near the staple line (yellow arrows); C: Fistulography via the drain on POD 9 revealed intractable pancreatic fistula (black arrow) and the abscess cavity (yellow arrows). From POD 9, saline irrigation (blue arrow) was continuously injected into the abscess cavity via a two-way tube with the drainage route (purple arrow). Thereafter, amylase levels in the drainage discharge decreased immediately; D: Fistulography on POD 12 revealed that the abscess resolved after 4 d of continuous local lavage. CHA: Common hepatic artery; CLL: Continuous local lavage; IVC: Inferior vena cava; POD: Postoperative day.