Safe and quick distal pancreatectomy using a staggered six-row stapler - 20/08/11
, Hiroaki Shiba, M.D., Ph.D., Teruyuki Usuba, M.D., Takuya Nojiri, M.D., Tadashi Uwagawa, M.D., Yuichi Ishida, M.D., Ph.D., Yuji Ishii, M.D., Ph.D., Katsuhiko Yanaga, M.D.
Corresponding author. Tel.: +81-3-3433-1111; fax: +81 3 5472 4140.Abstract |
Background |
The use of stapling devices for distal pancreatectomy remains controversial, due to concerns about the development of postoperative pancreatic fistula (POPF) and hemorrhage.
Methods |
We report herein the usefulness of the Endo SGIA stapler (Tyco Healthcare, Norwalk, CT) for distal pancreatectomy by placing 2 triple-staggered rows, ie, 6 rows of staples in the pancreatic stump. The pancreas was divided together with both the splenic artery and vein with Endo SGIA in 7 consecutive hand-assisted laparoscopic distal pancreatectomies.
Results |
No patients developed clinically significant POPF or postoperative hemorrhage. None of the patients had complications that may have influenced the length of hospital stay.
Conclusion |
The 6-row Endo SGIA stapler allows quick and effective prevention of POPF after distal pancreatectomy.
Le texte complet de cet article est disponible en PDF.Keywords : Surgical stapler, Distal pancreatectomy, Postoperative pancreatic fistula, Hand-assistance, Laparoscopic surgery
Plan
Vol 195 - N° 1
P. 115-118 - janvier 2008 Retour au numéro
Article précédent
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