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Surgery Today

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01-01-2015 | Original Article

A novel surgical technique to prevent pancreatic fistula in distal pancreatectomy using a patch of the falciform ligament

Authors: Yasuhiro Fujino, Hiroyoshi Sendo, Taro Oshikiri, Takemi Sugimoto, Masahiro Tominaga

Published in: Surgery Today | Issue 1/2015

Abstract

Purpose

Pancreatic fistula (PF) is a serious complication of pancreatectomy and many techniques and devices have been designed to prevent PF and abdominal bleeding after pancreatectomy. We report a modified technique using a patch of the falciform ligament to prevent PF formation after distal pancreatectomy (DP).

Method

On completion of DP, the main pancreatic duct is sutured. The remnant pancreas is then closely patched and sutured vertically to the falciform ligament using 3-0 polypropylene suture. We compared the results of this method (group 1) with those of the simple method of covering the remnant pancreas with the falciform ligament (group 2).

Results

We performed this method in 14 patients undergoing DP. The rate of grade B or C PF in group 1 (7.1 %) was lower than that in group 2 (46 %).

Conclusion

This is a simple and effective method of preventing PF fistula in DP.

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Title: A novel surgical technique to prevent pancreatic fistula in distal pancreatectomy using a patch of the falciform ligament
Authors: Yasuhiro Fujino
Hiroyoshi Sendo
Taro Oshikiri
Takemi Sugimoto
Masahiro Tominaga
Publication date: 01-01-2015
Publisher: Springer Japan
Published in: Surgery Today / Issue 1/2015
Print ISSN: 0941-1291
Electronic ISSN: 1436-2813
DOI: https://doi.org/10.1007/s00595-014-0942-0

Keynote webinar | Spotlight on medication adherence

Springer Medicine

A novel surgical technique to prevent pancreatic fistula in distal pancreatectomy using a patch of the falciform ligament

Abstract

Purpose

Method

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Method

Results

Conclusion

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