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Table 4 Case series reporting pancreato-jejunostomy and other stump closure techniques after distal pancreatectomy

From: Pancreato-jejunostomy versus hand-sewn closure of the pancreatic stump to prevent pancreatic fistula after distal pancreatectomy: a retrospective analysis

Authors

Study design

Variable

Sample size n (%)

PF rate (%)

P-value

Lillemoe et al. [1]

Retrospective

Pancreato-jejunostomy

10 (4%)

NAa

NA

Hand-sewn closure

204 (87%)

NA

Stapled

11 (5%)

NA

Both

10 (4%)

NA

Kleeff et al. [11]

Retrospective

Pancreatico-jejunostomy

24 (8%)

0

0.03

Hand-sewn closure

97 (32.1%)

9.3

Stapled

145 (48%)

15.9

Serosal patches

36 (11.9%)

8.3

Adam et al. [12]

Retrospective

Pancreatico-jejunostomy

27 (65.8%)

7

NS

Hand-sewn closure

14 (34.2%)

29

Wagner et al. [14]

Retrospective

Pancreato-jejunostomy

23 (53.5%)

0

0.04

  

Hand-sewn closure

20 (46.5%)

20

 
  1. NA not available, NS not significant, PF pancreatic fistula.
  2. aIn this large series the authors reported a total PF rate of 5% with no comparison between methods of stump closure.