Ricerc@Sapienza

Background/Aim: The purpose of this study was to evaluate the results of stapled
closure of the pancreatic remnant after cold-knife section of the pancreatic isthmus and
distal pancreatectomy for adenocarcinoma.
Methods: A retrospective evaluation of 57 consecutive patients undergoing distal
spleno-pancreatectomy for adenocarcinoma was performed. The pancreatic isthmus
was systematically straight-sectioned with a cold knife, and the remnant was stapled
close without additional stitches or adjuncts. The study’s main endpoints were

Background Pancreatic fistula (PF) after pancreatoduodenectomy (PD) represents the major source of morbidity. Derivative procedures are preferred by pancreatic surgeons, but the optimal management of remnant pancreatic stump remains controversial. Aims The purpose of this retrospective study is to evaluate the efficacy and safety of pancreatic stump closure in selected elderly patients (> 65 years).