title: Gastric serosal patch in distal pancreatectomy for injury: a neglected technique.
abstract: Distal pancreatectomy to manage disruption of the body and tail of the pancreas is a well-established surgical procedure. Fistula formation after distal pancreatectomy for injury may be as high as 24 per cent, and its treatment, although non-operative, prolongs hospitalization and increases the patient's discomfort. We describe the gastric serosal patch technique designed to cover the pancreatic stump after distal pancreatectomy in injured patients. Although this procedure has been previously described, it did not receive appropriate acclaim. Our experience suggests that this technique may eliminate fistula formation and other complications, thereby reducing patient discomfort, morbidity and hospital stay.
authors.affiliation: Department of Surgery and Trauma Services, Sourasky Medical Center, Sackler School of Medicine, Tel-Aviv, Israel.
authors.forename: Y
authors.initials: Y
authors.lastname: Kluger
authors.forename: R
authors.initials: R
authors.lastname: Alfici
authors.forename: B
authors.initials: B
authors.lastname: Abbley
authors.forename: D
authors.initials: D
authors.lastname: Soffer
authors.forename: D
authors.initials: D
authors.lastname: Aladgem
mesh_terms: D000293:Adolescent; D000328:Adult; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010179:Pancreas / Q000293:injuries*; D010180:Pancreatectomy / Q000379:methods*; D010185:Pancreatic Fistula / Q000517:prevention & control*; D011183:Postoperative Complications / Q000517:prevention & control*; D013270:Stomach