Observational Study
Copyright ©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Surg. May 27, 2022; 14(5): 482-493
Published online May 27, 2022. doi: 10.4240/wjgs.v14.i5.482
Application of omental interposition to reduce pancreatic fistula and related complications in pancreaticoduodenectomy: A propensity score-matched study
Yang Li, Yun Liang, Yao Deng, Zhi-Wei Cai, Ming-Jian Ma, Long-Xiang Wang, Meng Liu, Hong-Wei Wang, Chong-Yi Jiang
Yang Li, Yun Liang, Yao Deng, Zhi-Wei Cai, Ming-Jian Ma, Long-Xiang Wang, Meng Liu, Hong-Wei Wang, Chong-Yi Jiang, Department of General Surgery, Huadong Hospital Affiliated to Fudan University, Shanghai 200040, China
Yun Liang, Department of Pancreatic Surgery, Fudan University Shanghai Cancer Center, Shanghai 200032, China
Author contributions: Li Y, Liang Y, and Deng Y contributed equally to this manuscript; Jiang CY participated in the conception and design of this study; Deng Y, Cai ZW, Ma MJ, Wang LX, Liu M, and Wang HW participated in the data collection; Li Y participated in the data collection, analysis, and drafting of the article; Liang Y participated in the design of the study and data analyses; All authors have read and approved the final manuscript.
Supported by the Shanghai Science and Technology Commission of Shanghai Municipality, No. 20Y11908600; the Shanghai Shenkang Hospital Development Center, No. SHDC2020CR5008; and Shanghai Municipal Health Commission, No. 20194Y0195.
Institutional review board statement: The study was reviewed and approved by the Ethics Review Committee of Huadong Hospital (Shanghai).
Conflict-of-interest statement: The authors have no conflicts of interest to declare.
Data sharing statement: No additional data are available
STROBE statement: The authors have read the STROBE Statement-checklist of items, and the manuscript was prepared and revised according to the STROBE Statement-checklist of items.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Chong-Yi Jiang, MD, Chief Doctor, Department of General Surgery, Huadong Hospital Affiliated to Fudan University, No. 221 West Yan’an Road, Shanghai 200040, China. jiangzhongyi9@sina.com
Received: December 16, 2021
Peer-review started: December 16, 2021
First decision: March 13, 2022
Revised: March 16, 2022
Accepted: April 24, 2022
Article in press: April 24, 2022
Published online: May 27, 2022
Core Tip

Core Tip: Postoperative pancreatic fistula (POPF) is a life-threatening complication after pancreaticoduodenectomy. Multiple methods have been described in the literature to prevent POPF; however, few trials have demonstrated that a certain method can achieve good clinical outcomes. In this study, we proved that the application of omental interposition can reduce the incidence of clinically relevant POPF, which is associated with a trend towards accelerated recovery.