Preoperative endoscopic pancreatic stenting for safe local pancreatic resection.
Local pancreatic resection and enucleation have the advantage of preserving pancreatic parenchyma but pancreatic fistula often occurs postoperatively. We describe a case in which preoperative endoscopic pancreatic stenting prevented pancreatic fistula formation following local pancreatic resection. A pancreatic stent seems to prevent leakage from small pancreatic branch ducts not identified or ligated intraoperatively, via the pancreatic decompression effect. The present case demonstrates a novel indication for endoscopic pancreatic stenting.
Sugiyama
M
M
First Department of Surgery, Kyorin University School of Medicine, 6-20-2 Shinkawa, Mitaka, Tokyo 181-8611, Japan. sgym@kyorin-u.ac.jp
Abe
N
N
Yamaguchi
Y
Y
Yamato
T
T
Nakaura
H
H
Matsuoka
H
H
Masaki
T
T
Mori
T
T
Atomi
Y
Y
D021441:Carcinoma, Pancreatic Ductal / Q000473:pathology / Q000601:surgery*; D002760:Cholangiopancreatography, Endoscopic Retrograde; D019160:Endosonography; D005260:Female; D006801:Humans; D008875:Middle Aged; D010180:Pancreatectomy; D010185:Pancreatic Fistula / Q000517:prevention & control*; D010190:Pancreatic Neoplasms / Q000473:pathology / Q000601:surgery*; D011300:Preoperative Care; D015607:Stents