[Pancreas resection with the surgical stapler. Technique and results].
In a consecutive series of 42 pancreatoduodenectomies and 17 distal pancreatectomies we evaluated the applicability of the stapler TA-55 for transecting the pancreas parenchyma. In 90% of Whipple's operations and in 88% of distal pancreatectomies the transection of the pancreas was successfully accomplished by using the TA-55. The two rows of steel staples lead to a uniform closure of the pancreatic tissue and thus provided an excellent precondition for pancreatic stump healing and creation of a pancreaticojejunal anastomosis. Pancreatic fistulas occurred in 3 cases (5%) and were all successfully treated conservatively. Summarizing our experience, the stapler TA-55 can be recommended particularly for the transection of normal and fragile pancreatic tissue.
Rieger
R
R
2. Chirurgische Abteilung, Allgemein öffentliches Krankenhaus der Stadt Linz.
Wayand
W
W
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010180:Pancreatectomy / Q000295:instrumentation*; D010185:Pancreatic Fistula / Q000209:etiology; D010190:Pancreatic Neoplasms / Q000601:surgery*; D016577:Pancreaticoduodenectomy / Q000295:instrumentation*; D010195:Pancreatitis / Q000601:surgery*; D011183:Postoperative Complications / Q000209:etiology; D013528:Surgical Staplers
Pankreasresektion mit dem Klammernahtgerät. Technik und Ergebnisse.