title: Gastric wall-covering method for the prevention of pancreatic fistula after pancreatic resection.
abstract: A pancreatic fistula is one of the most frequent complications and is still responsible for most mortality after pancreatic surgery. We propose 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. Ten patients underwent our new surgical technique, gastric wall-covering method, in 7 patients with distal pancreatectomy and in 3 with partial resection of the head of the pancreas. There were no episodes of pancreatic fistula or any complications. Our novel technique is simple, technically feasible, and useful for the prevention of the pancreatic leakage following pancreatic surgery.
authors.affiliation: Department of Transplantation and Digestive Surgery, Nagasaki University, Graduate School of Biomedical Sciences, 1-7-1 Sakamoto, Nagasaki 852-8501, 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: Kenzo
authors.initials: K
authors.lastname: Fukuda
authors.forename: Masashi
authors.initials: M
authors.lastname: Haraguchi
authors.forename: Junichiro
authors.initials: J
authors.lastname: Furui
authors.forename: Takashi
authors.initials: T
authors.lastname: Kanematsu
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010180:Pancreatectomy / Q000379:methods*; D010185:Pancreatic Fistula / Q000517:prevention & control*; D010190:Pancreatic Neoplasms / Q000601:surgery*; D013270:Stomach / Q000601:surgery*