Preventing clinically relevant pancreatic fistula with combination of linear stapling plus continuous suture of the stump in laparoscopic distal pancreatectomy

摘要

Laparoscopic distal pancreatectomy for intraductal papillary mucinous neoplasm. a The tumor was visualized by intraoperative ultrasonography. b The pancreas was mobilized from its inferior border off the retroperitoneum. c Splenic artery was isolated at the superior pancreatic border, and its branches were dissected off the pancreas and clips are applied to secure them. d Splenic vein was isolated from the pancreas, and venous branches were divided and clips were applied for dissection. e Drain was routinely placed close to the stump of pancreas