Published online Feb 28, 2017. doi: 10.3748/wjg.v23.i8.1507
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
Processing time: 115 Days and 23.6 Hours
Following an increase in the use of the GIA stapler for treating a pancreatic stump, more techniques to prevent postoperative pancreatic juice leakage have been required. We describe one successful case using our new technique of invaginating the cut end of the pancreas into the stomach 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, causing a grade A PF. We resected the distal pancreas without additional reinforcement to invaginate the stump into the gastric posterior wall with single layer anastomosis using a 3-0 absorbable suture. The drain tubes were removed on the third postoperative day. 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.
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.