Abstract
To determine the influence of hand-sewn and stapler in distal pancreatectomy on the postoperative complication. Clinical data of 109 patients after distal pancreatectomy from January 2003 to December 2006 were analyzed retrospectively. The surgical techniques used for closure of the pancreatic stump after distal pancreatectomy were categorized into hand-sewn closure group (n = 53) and stapler closure group (n = 56). In stapler closure group, 25 patients accepted laparoscopic operation. The incidences of abdominal infection and pancreatic fistulae in stapler closure group were lower than hand-sewn closure group. The operation time, blood infusion, postoperative bleeding and medical costs were similar between two groups. Stapler closure in distal pancreatectomy could decrease the incidence of pancreatic fistula and abdominal infections.
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