Affiliation:
1. Department of Digestive Surgery, and Breast and Thyroid Surgery, Graduate School of Medicine Kagoshima University Kagoshima Japan
Abstract
AbstractLaparoscopic distal pancreatectomy (LDP) is the standard surgery for malignant and premalignant tumors of the pancreatic body and tail. A stapler is commonly used to close the pancreatic stump due to its simplicity; however, the use of a stapler is associated with the risk of metal allergy and postoperative pancreatic fistula, especially in thick pancreases. Here, we present a case of LDP without metal instruments, including staplers and clips, in a 54‐year‐old woman with a metal allergy and a thick pancreas. The pancreatic stump was closed using the transpancreatic mattress suture method with a polyglycolic acid sheet (PGA) and fibrin glue. The postoperative course was uneventful. Metal‐free LDP is useful and can be adopted regardless of the patient's background, such as a metal allergy or pancreatic thickness.