Case Report
Copyright ©The Author(s) 2017. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Feb 28, 2017; 23(8): 1507-1512
Published online Feb 28, 2017. doi: 10.3748/wjg.v23.i8.1507
Preventing pancreatic fistula after distal pancreatectomy: An invagination method
Nagato Katsura, Yasuhiro Kawai, Takashi Gomi, Kenji Okumura, Takahiko Hoashi, Seijun Fukuda, Katsushi Takebayashi, Kenji Shimizu, Masugi Satoh
Nagato Katsura, Takahiko Hoashi, Seijun Fukuda, Kenji Shimizu, Department of Surgery, Misugikai Otokoyama Hospital, Otokoyama Izumi, Yawata, Kyoto 614-8366, Japan
Yasuhiro Kawai, Takashi Gomi, Kenji Okumura, Katsushi Takebayashi, Masugi Satoh, Department of Surgery, Misugikai Satoh Hospital, Yobuhigashimachi Hirakata, Osaka 573-1124, Japan
Author contributions: Katsura N contributed to drafting the manuscript; Kawai Y contributed to performing the operation; and all authors read and approved the final manuscript.
Institutional review board statement: This study was approved by the Ethical Review Board of the Misugikai Otokoyama Hospital (approval number: 2012-01).
Informed consent statement: The patient gave informed consent for the procedure.
Conflict-of-interest statement: All the authors have no conflicts of interest to declare.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See:
Correspondence to: Nagato Katsura, MD, PhD, Department of Surgery, Misugikai Otokoyama Hospital, 19, Kazuha Avenue, Otokoyama Izumi, Yawata, Kyoto 614-8366, Japan.
Telephone: +81-75-9830001 Fax: +81-75-9711082
Received: November 2, 2016
Peer-review started: November 4, 2016
First decision: December 2, 2016
Revised: December 15, 2016
Accepted: January 4, 2017
Article in press: January 4, 2017
Published online: February 28, 2017
Core Tip

Core tip: More techniques for preventing postoperative pancreatic juice leakage have been required since the use of GIA stapler has increased. We describe one successful case wherein our new technique of invaginating the cut end of the pancreas into the stomach was used to prevent a pancreatic fistula (PF) from occurring. A 50-year-old woman with pancreatic cancer in the tail of the pancreas underwent distal pancreatectomy. Although a grade A PF was noted, the patient was discharged on foot on the eleventh postoperative day. Our technique may be a suitable method for patients with a pancreatic body and tail tumor.