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Safe and quick distal pancreatectomy using a staggered six-row stapler.
Takeyuki Misawa1, Hiroaki Shiba, Teruyuki Usuba
1Department of Surgery, The Jikei University School of Medicine, Tokyo, Japan. take-misawa@jikei.ac.jp
American Journal of Surgery
|December 12, 2007
Summary
The 6-row Endo SGIA stapler effectively prevents postoperative pancreatic fistula (POPF) and bleeding after distal pancreatectomy. This technique in hand-assisted laparoscopic procedures resulted in no significant complications for patients.
Area of Science:
- Surgical Oncology
- Gastroenterology
- Medical Devices
Background:
- Distal pancreatectomy is associated with risks of postoperative pancreatic fistula (POPF) and hemorrhage.
- The efficacy of stapling devices in preventing these complications remains a subject of debate.
Purpose of the Study:
- To evaluate the utility of the Endo SGIA stapler for distal pancreatectomy.
- To assess the stapler's effectiveness in preventing POPF and hemorrhage.
Main Methods:
- A technique using the Endo SGIA stapler with 6 rows of staples was employed in 7 hand-assisted laparoscopic distal pancreatectomies.
- The stapler was used to divide the pancreas, splenic artery, and splenic vein.
Main Results:
- No patients experienced clinically significant POPF.
- No instances of postoperative hemorrhage were reported.
- No complications occurred that impacted hospital stay duration.
Conclusions:
- The 6-row Endo SGIA stapler provides a method for rapid and effective prevention of POPF.
- This stapling technique appears safe and beneficial for distal pancreatectomy procedures.
