[The utility of stapler in distal pancreatectomy].
OBJECTIVE
To determine the influence of hand-sewn and stapler in distal pancreatectomy on the postoperative complication.


METHODS
Clinical data of 109 patients after distal pancreatectomy from January 2003 to December 2006 were analyzed retrospectively.


RESULTS
The surgical techniques used for closure of the pancreatic stump after distal pancreatectomy were categorized into hand-sewn closure group (n = 53) and stapler closure group (n = 56). In stapler closure group, 25 patients accepted laparoscopic operation. The incidences of abdominal infection and pancreatic fistulae in stapler closure group were lower than hand-sewn closure group. The operation time, blood infusion, postoperative bleeding and medical costs were similar between two groups.


CONCLUSIONS
Stapler closure in distal pancreatectomy could decrease the incidence of pancreatic fistula and abdominal infections.
Department of General Surgery, Peking Union Medical College Hospital, Peking Union Medical College and Chinese Academy of Medical Science, Beijing 100730, China. zhao8028@263.net
Yu-Pei
YP
Zhao
Ya
Y
Hu
Quan
Q
Liao
Tai-Ping
TP
Zhang
Jun-Chao
JC
Guo
Lin
L
Cong
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010180:Pancreatectomy / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods*; D010185:Pancreatic Fistula / Q000209:etiology / Q000517:prevention & control; D010190:Pancreatic Neoplasms / Q000601:surgery; D011183:Postoperative Complications / Q000517:prevention & control; D012189:Retrospective Studies; D013528:Surgical Staplers; D013530:Surgical Wound Infection / Q000517:prevention & control; D055815:Young Adult