title: Comparison of different surgical techniques in distal pancreatectomy: an experimental study in a porcine model.
abstract: OBJECTIVE
  Different surgical transection methods have been used for distal pancreatectomy (DP), but none of them has yet achieved perfect results. This study compares 2 standard transection techniques with the alternative LigaSure technique.
  
  
  METHODS
  Forty-eight pigs underwent a DP. Sixteen animals were operated on with a scalpel followed by hand suturing. Sixteen pigs received a DP using an Endo GIA, and the pancreas of 16 pigs was transected with LigaSure. The transection surface of remnant pancreas was observed for liquid collection and abscess on postoperative day 7.
  
  
  RESULTS
  Operating time on the day of DP was significantly different, with a shorter operating time in the stapler and LigaSure groups. The morbidity on postoperative day 7 was similar in all groups.
  
  
  CONCLUSIONS
  In the present experimental animal study, LigaSure seems to be fast and safe as well as comparable with the standard transection and closure techniques in DP.
authors.affiliation: University of Heidelberg, Heidelberg, Germany.
authors.forename: Tobias
authors.initials: T
authors.lastname: Gehrig
authors.forename: Hamid
authors.initials: H
authors.lastname: Fonouni
authors.forename: Beat P
authors.initials: BP
authors.lastname: Müller-Stich
authors.forename: Mohammad
authors.initials: M
authors.lastname: Golriz
authors.forename: Sepehr
authors.initials: S
authors.lastname: Abbassi
authors.forename: Felix
authors.initials: F
authors.lastname: Nickel
authors.forename: Majid
authors.initials: M
authors.lastname: Esmaeilzadeh
authors.forename: Karsten
authors.initials: K
authors.lastname: Brand
authors.forename: Morva Tahmasbi
authors.initials: MT
authors.lastname: Rad
authors.forename: Katherine M
authors.initials: KM
authors.lastname: Hughes
authors.forename: Ulf
authors.initials: U
authors.lastname: Hinz
authors.forename: Markus W
authors.initials: MW
authors.lastname: Büchler
authors.forename: Carsten N
authors.initials: CN
authors.lastname: Gutt
authors.forename: Arianeb
authors.initials: A
authors.lastname: Mehrabi
mesh_terms: D000038:Abscess / Q000209:etiology / Q000517:prevention & control; D000818:Animals; D004338:Drug Combinations; D005340:Fibrinogen / Q000627:therapeutic use; D006488:Hemostasis, Surgical / Q000379:methods; D006490:Hemostatics / Q000627:therapeutic use; D010180:Pancreatectomy / Q000009:adverse effects / Q000379:methods*; D013536:Suture Techniques; D013552:Swine; D013917:Thrombin / Q000627:therapeutic use
chemical_list: D004338:Drug Combinations; D006490:Hemostatics; C518955:TachoSil; D005340:Fibrinogen; D013917:Thrombin