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World J Gastroenterol. Dec 7, 2014; 20(45): 17185-17189
Published online Dec 7, 2014. doi: 10.3748/wjg.v20.i45.17185
Published online Dec 7, 2014. doi: 10.3748/wjg.v20.i45.17185
PolysorbR (an absorbable lactomer) staples, a safe closure technique for distal pancreatic resection
Gyula Farkas, László Leindler, János Márton, György Lázár, Gyula Farkas Jr, Department of Surgery, Faculty of Medicine, University of Szeged, H-6701 Szeged, Hungary
Author contributions: Farkas G, Leindler L, Márton J, Lázár G and Farkas Jr G contributed equally to this work by performing the surgical resection, literature search, writing the manuscript, as well as carefully reviewing the submitted version.
Correspondence to: Gyula Farkas, MD, PhD, DSc, Professor of Surgery, Department of Surgery, Faculty of Medicine, University of Szeged, PO Box 427, H-6701 Szeged, Hungary. fg@surg.szote.u-szeged.hu
Telephone: +36-62-545444 Fax: +36-62-545462
Received: March 3, 2014
Revised: April 28, 2014
Accepted: June 21, 2014
Published online: December 7, 2014
Revised: April 28, 2014
Accepted: June 21, 2014
Published online: December 7, 2014
Core Tip
Core tip: The most common complication in distal pancreatectomy is the occurrence of a postoperative pancreatic fistula (POPF). The fistula rate of 30% in the multicenter trial demonstrated that the currently applied techniques for closure of the pancreas remnant do not always lead to perfect results. Staples made from PolysorbR, an absorbable lactomer, have been applied in our practice to reduce these complications. The incidence of POPF was 0.6%. Our clinical results demonstrated that the application of absorbable lactomer staples is a safe alternative to the standard closure technique and can be applied in all cases when distal pancreatic resection is indicated.