title: Gastric wall-covering method for the prevention of pancreatic fistula after hand-assisted laparoscopic distal pancreatectomy for pancreatic tumor.
abstract: Laparoscopic pancreatic surgery has been a common surgical procedure for pancreatic tumors. However, the rate of the pancreatic fistula after laparoscopic pancreatic surgery is still high. Recently, we have reported a gastric wall-covering method, a new and novel surgical technique in pancreatic surgery for the prevention of pancreatic fistula, in which the pancreatic cutting surface is covered completely with the gastric wall. Herein, we describe the new surgical procedure of a combination of hand-assisted laparoscopic surgery and gastric wall-covering method for distal pancreatectomy.
authors.affiliation: Department of Transplantation and Digestive Surgery, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan. tkuroki-gi@umin.ac.jp
authors.forename: Tamotsu
authors.initials: T
authors.lastname: Kuroki
authors.forename: Yoshitsugu
authors.initials: Y
authors.lastname: Tajima
authors.forename: Ryuji
authors.initials: R
authors.lastname: Tsutsumi
authors.forename: Noritsugu
authors.initials: N
authors.lastname: Tsuneoka
authors.forename: Amane
authors.initials: A
authors.lastname: Kitasato
authors.forename: Tomohiko
authors.initials: T
authors.lastname: Adachi
authors.forename: Takashi
authors.initials: T
authors.lastname: Kanematsu
mesh_terms: D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008875:Middle Aged; D010180:Pancreatectomy / Q000379:methods*; D010185:Pancreatic Fistula / Q000517:prevention & control*; D010190:Pancreatic Neoplasms / Q000601:surgery*; D013270:Stomach / Q000601:surgery*