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Preventing Clinically Relevant Pancreatic Fistula with Combination of Linear Stapling Plus Continuous Suture of the Stump in Laparoscopic Distal Pancreatectomy by Aoki, Takeshi; Mansour, Doaa A.; Koizumi, Tomotake; Matsuda, Kazuhiro; Kusano, Tomokazu; Wada, Yusuke; Hakozaki, Tomoki; Tomioka, Kodai; Hirai, Takahito; Yamazaki, Tatsuya; Watanabe, Makoto; Otsuka, Koji; Gahin, Ahmed Elewa Abbas; Murakami, Masahiko is a Medicine article available to read on EtoBox.

What is Preventing Clinically Relevant Pancreatic Fistula with Combination of Linear Stapling Plus Continuous Suture of the Stump in Laparoscopic Distal Pancreatectomy about?

## Abstract ## Background Pancreatic fistula is one of the serious complications for patients undergoing distal pancreatectomy, which leads to significant morbidity. The aim of our study is to compare linear stapling closure plus continuous suture with linear stapling closure alone during laparoscopic distal pancreatectomy (LDP) in terms of clinically relevant postoperative pancreatic fistula (POPF) rate. ## Methods Twenty-two patients underwent LDP at our institution between 2011 and 2013. Twelve patients had linear stapling closure with peri-firing compression (LSC) alone compared with ten patients who had linear stapling closure, peri-firing compression plus continuous suture (LSC/CS) for stump closure of remnant pancreas in LDP. Biochemical leak and clinically relevant POPF were compared between both groups. ## Results POPF occurred in 4 of 12 (33.3%) patients with linear stapling closure while no patient developed a clinically relevant POPF in the triple combination of linear stapling, peri-firing compression plus continuous suture group (p = 0.043).1 patient (8.3%) in the LSC group and 5 patients (50%) in the LSC/CS group had evidence of a biochemical leak. There were no sign

Who reads Preventing Clinically Relevant Pancreatic Fistula with Combination of Linear Stapling Plus Continuous Suture of the Stump in Laparoscopic Distal Pancreatectomy?

Author

Aoki, Takeshi; Mansour, Doaa A.; Koizumi, Tomotake; Matsuda, Kazuhiro; Kusano, Tomokazu; Wada, Yusuke; Hakozaki, Tomoki; Tomioka, Kodai; Hirai, Takahito; Yamazaki, Tatsuya; Watanabe, Makoto; Otsuka, Koji; Gahin, Ahmed Elewa Abbas; Murakami, Masahiko

Publisher

BioMed Central; Springer (Biomed Central Ltd.); London: BioMed Central, 2001-; Springer Science and Business Media LLC (ISSN 1471-2482)

Published

2020

Language

EN

Field

Medicine (Health Sciences)