title: Single-staple technique for pancreas allograft procurement.
abstract: BACKGROUND
  Stapling devices have been used routinely during pancreas procurement for duodenal stumps closure, however, their cost is significant. In this letter we described an alternative stapling technique in order to reduce the number of loads as well as cost during pancreas procurement.
  
  
  METHODS
  We have been using rapid en bloc technique for simultaneous liver and pancreas procurement. The proposed modification entails a single staple for transection of both duodenum and jejunum.
  
  
  RESULTS
  We did not observe complication with the technique described herein, including leaking of gastrointestinal content during the procurement, storage, or transportation of pancreas allograft.
  
  
  CONCLUSIONS
  We believe that the technique described here is a simple and cost-effective maneuver that could be safely used during the pancreas harvesting.
authors.affiliation: Starzl Transplantation Institute, Department of Surgery, University of Pittsburgh, PA, USA. cruzrj@upmc.edu
authors.forename: Ruy J
authors.initials: RJ
authors.lastname: Cruz
mesh_terms: D004386:Duodenum / Q000601:surgery; D006801:Humans; D007583:Jejunum / Q000601:surgery; D016031:Liver Transplantation; D009926:Organ Preservation; D010179:Pancreas / Q000601:surgery; D016035:Pancreas Transplantation / Q000379:methods*; D017792:Surgical Stapling / Q000379:methods*; D020858:Tissue and Organ Harvesting / Q000379:methods*