New method of remnant closure during distal pancreatectomy

New method of remnant closure during distal pancreatectomy

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 pancreat...

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Bibliographic Details
Published in:Langenbeck's archives of surgery Vol. 408; no. 1; p. 176
Main Authors: Kelemen, D., Kerbeche, A., Farkas, N., Vereczkei, A.
Format: Journal Article
Language:English
Published: Berlin/Heidelberg Springer Berlin Heidelberg 04-05-2023
Subjects:
Abdominal Surgery
Brief Report
Cardiac Surgery
General Surgery
Humans
Medicine
Medicine & Public Health
Pancreas - surgery
Pancreatectomy - adverse effects
Pancreatectomy - methods
Pancreatic Fistula - etiology
Pancreatic Fistula - prevention & control
Pancreatic Fistula - surgery
Postoperative Complications - prevention & control
Postoperative Complications - surgery
Retrospective Studies
Suture Techniques
Thoracic Surgery
Traumatic Surgery
Vascular Surgery
Circular fixation stitch
Distal pancreatectomy
Fascia graft
Pancreatic fistula
Pancreatic remnant closure
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Summary: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.
Bibliography:ObjectType-Article-1
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ISSN:1435-2451
1435-2443
1435-2451
DOI:10.1007/s00423-023-02916-2