| Autor: |
Yoichi Yamasaki, Hiroshi Kurahara, Hideyuki Oi, Yuto Hozaka, Tetsuya Idichi, Yota Kawasaki, Yuko Mataki, Takao Ohtsuka |
| Předmět: |
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| Zdroj: |
Asian Journal of Endoscopic Surgery; Oct2023, Vol. 16 Issue 4, p770-773, 4p |
| Abstrakt: |
Laparoscopic distal pancreatectomy (LDP) is the standard surgery for malignant and premalignant tumors of the pancreatic body and tail. A stapler is commonly used to close the pancreatic stump due to its simplicity; however, the use of a stapler is associated with the risk of metal allergy and postoperative pancreatic fistula, especially in thick pancreases. Here, we present a case of LDP without metal instruments, including staplers and clips, in a 54-yearold woman with a metal allergy and a thick pancreas. The pancreatic stump was closed using the transpancreatic mattress suture method with a polyglycolic acid sheet (PGA) and fibrin glue. The postoperative course was uneventful. Metal-free LDP is useful and can be adopted regardless of the patient's background, such as a metal allergy or pancreatic thickness. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
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