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

Table 1 Institutional protocol for continuous local lavage for postoperative pancreatic fistula

Maturity of the artificial fistula for CLL induction
Wait until the fistulas along the intraperitoneal drains mature because an accessible pathway for drain replacement is needed
Injected saline should never spread outward from the mature fistula
No extension of contrast dye should be confirmed during fistulography
Optimal setting for effective CLL
The abscess cavity and pancreatic fistula should be effectively lavaged
Appropriate tube placement is required
A recovery rate of injected fluid of > 80% should be confirmed
Decreased toxicity after CLL
Amylase level in the drainage discharge within the lower triple-digits is ideal
CLL should be reconsidered if ≥ 1500 mL/d saline is insufficient to decrease amylase levels in the drainage discharge

CLL: Continuous local lavage.