The incidence of postoperative pancreatic fistula (POPF) after Distal pancreatectomy (DP) remains high. Of the available mitigation strategies, high-quality closure of the pancreatic stump is fundamental. Researchers failed to find a decrease in the incidence of POPF after stapler closure of the pancreatic stump compared with that related to hand-sewn suture in DP. Minimally invasive DP (MDP) is becoming the first choice for patients and surgeons, few studies have evaluated whether stapler closure is superior to hand-sewn suture for stump closure in MDP. Therefore, this retrospective study was aimed at evaluating the effect of stapler versus hand-sewn closure on the incidence of POPF after MDP.
Study Type
OBSERVATIONAL
Enrollment
384
Stapler
Suture
the First Affiliated Hospital, School of Medicine, Zhejiang University
Hangzhou, Zhejiang, China
Postoperative pancreatic fistula (POPF)
The outcome was POPF per the International Study Group of Pancreatic Surgery definition
Time frame: Within 3 months after pancreatic surgery
delayed gastric emptying (DGE)
identified and graded according to the ISGPS criteria
Time frame: Within 3 months after pancreatic surgery
postpancreatectomy hemorrhage (PPH)
identified and graded according to the ISGPS criteria
Time frame: Within 3 months after pancreatic surgery
Chyle leak
identified and graded according to the ISGPS criteria
Time frame: Within 3 months after pancreatic surgery
Surgical complications
classified according to the Clavien-Dindo system
Time frame: Within 3 months after pancreatic surgery
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