Related Experiment Video
Updated: Jul 31, 2025
Modified Single-Loop Reconstruction for Pancreaticoduodenectomy
Published on: September 28, 2019
New method of remnant closure during distal pancreatectomy
D Kelemen1, A Kerbeche2, N Farkas3
1Department of Surgery, Medical Faculty, Clinical Center, University of Pécs, Ifjúság u. 13., 7624, Pécs, Hungary. kelemen.dezso@pte.hu.
Purpose:
Pancreatic fistula following distal pancreatectomies still remains a relevant problem. The present study describes our first series with a new method of pancreatic remnant closure.
Methods:
A free fascia-peritoneum graft - harvested from the internal rectus sheet - was fixed onto the pancreatic stump by one circular stitch. The method was applied in 18 cases.
Results:
The postoperative hospital stay was 8 days in average. No clinically relevant postoperative pancreatic fistula (CR-POPF) developed. The morbidity rate was 39%, mostly Clavien-Dindo Grade II types. There was no reoperation or mortality.
Conclusion:
The first series showed advantageous results with our method. Certainly, further studies are needed for the evaluation of this new and promising technique.
