Document Detail

Safe and quick distal pancreatectomy using a staggered six-row stapler.
MedLine Citation:
PMID:  18070733     Owner:  NLM     Status:  MEDLINE    
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.
Takeyuki Misawa; Hiroaki Shiba; Teruyuki Usuba; Takuya Nojiri; Tadashi Uwagawa; Yuichi Ishida; Yuji Ishii; Katsuhiko Yanaga
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  American journal of surgery     Volume:  195     ISSN:  1879-1883     ISO Abbreviation:  Am. J. Surg.     Publication Date:  2008 Jan 
Date Detail:
Created Date:  2007-12-17     Completed Date:  2008-01-02     Revised Date:  2009-05-20    
Medline Journal Info:
Nlm Unique ID:  0370473     Medline TA:  Am J Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  115-8     Citation Subset:  AIM; IM    
Department of Surgery, The Jikei University School of Medicine, Tokyo, Japan.
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MeSH Terms
Middle Aged
Pancreatectomy / instrumentation*
Surgical Staplers*
Surgical Stapling

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