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. 2023 May 4;408(1):176.
doi: 10.1007/s00423-023-02916-2.

New method of remnant closure during distal pancreatectomy

D Kelemen  1 , A Kerbeche  2 , N Farkas  3 , A Vereczkei  2
Affiliations

New method of remnant closure during distal pancreatectomy

D Kelemen et al. Langenbecks Arch Surg. .

Abstract

Purpose: Pancreatic fistula following distal pancreatectomies still remains a relevant problem. The present study describes our first series with a new method of pancreatic remnant closure.

Methods: A free fascia-peritoneum graft - harvested from the internal rectus sheet - was fixed onto the pancreatic stump by one circular stitch. The method was applied in 18 cases.

Results: The postoperative hospital stay was 8 days in average. No clinically relevant postoperative pancreatic fistula (CR-POPF) developed. The morbidity rate was 39%, mostly Clavien-Dindo Grade II types. There was no reoperation or mortality.

Conclusion: The first series showed advantageous results with our method. Certainly, further studies are needed for the evaluation of this new and promising technique.

Keywords: Circular fixation stitch; Distal pancreatectomy; Fascia graft; Pancreatic fistula; Pancreatic remnant closure.

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Conflict of interest statement

The authors declare no competing interests.

Figures

Fig. 1
Fig. 1
On the operative picture, the pancreatic stump is covered with a fascia-peritoneum graft (in this case the peritoneal surface is outside) and fixed by one circular stitch, knotted tightly
Fig. 2
Fig. 2
Illustration of the method
See this image and copyright information in PMC

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