Purpose Pancreatic fistula following distal pancreatectomies still remains a relevant problem. The present study describes our first series with a new method of pancreatic remnant closure. Methods A free fascia-peritoneum graft — harvested from the internal rectus sheet — was fixed onto the pancreatic stump by one circular stitch. The method was applied in 18 cases. Results The postoperative hospital stay was 8 days in average. No clinically relevant postoperative pancreatic fistula (CR-POPF) developed. The morbidity rate was 39%, mostly Clavien-Dindo Grade II types. There was no reoperation or mortality. Conclusion The first series showed advantageous results with our method. Certainly, further studies are needed for the evaluation of this new and promising technique.
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