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.
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.
Authors: Christopher D Briggs; Christopher D Mann; Glen R B Irving; Christopher P Neal; Mark Peterson; Iain C Cameron; David P Berry Journal: J Gastrointest Surg Date: 2009-01-07 Impact factor: 3.452
Authors: Ye Rim Chang; Jae Seung Kang; Jin-Young Jang; Woo Hyun Jung; Mee Joo Kang; Kyung Bun Lee; Sun-Whe Kim Journal: World J Surg Date: 2017-06 Impact factor: 3.352