Roux-en-Y Anastomosis of the Pancreatic Stump Following Distal Pancreatectomy
The objective of this study was to clarify Roux-en-Y anastomosis of the pancreatic stump
prevents pancreatic fistula after distal pancreatectomy (DP) compared to stapling closure of
the pancreatic stump in a prospective randomized controlled trail.
Various methods and technique for treating surgical stump of the remnant pancreas have been
reported to reduce pancreatic fistula after DP. However, appropriate surgical stump closure
after DP is still controversial.
The primary endpoint in this trial was defined as the incidence of pancreatic fistula .
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Prevention
Incidence of pancreatic fistula defined by ISGPF classification
1 month after operation
Manabu Kawai, MD
Wakayama Medical University, School of Medicine
Japan: Ministry of Health, Labor and Welfare