{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,6]],"date-time":"2026-04-06T13:56:25Z","timestamp":1775483785754,"version":"3.50.1"},"reference-count":16,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2023,5,4]],"date-time":"2023-05-04T00:00:00Z","timestamp":1683158400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2023,5,4]],"date-time":"2023-05-04T00:00:00Z","timestamp":1683158400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100009594","name":"University of P\u00e9cs","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100009594","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Langenbecks Arch Surg"],"abstract":"<jats:title>Abstract\n<\/jats:title><jats:sec>\n                <jats:title>Purpose<\/jats:title>\n                <jats:p>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.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>A free fascia-peritoneum graft \u2014 harvested from the internal rectus sheet \u2014 was fixed onto the pancreatic stump by one circular stitch. The method was applied in 18 cases.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>The postoperative hospital stay was 8\u00a0days 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.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>The first series showed advantageous results with our method. Certainly, further studies are needed for the evaluation of this new and promising technique.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00423-023-02916-2","type":"journal-article","created":{"date-parts":[[2023,5,4]],"date-time":"2023-05-04T08:02:28Z","timestamp":1683187348000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["New method of remnant closure during distal pancreatectomy"],"prefix":"10.1007","volume":"408","author":[{"given":"D.","family":"Kelemen","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A.","family":"Kerbeche","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"N.","family":"Farkas","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A.","family":"Vereczkei","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2023,5,4]]},"reference":[{"issue":"1","key":"2916_CR1","doi-asserted-by":"publisher","first-page":"47","DOI":"10.1016\/j.surg.2013.05.035","volume":"155","author":"JC Harnoss","year":"2014","unstructured":"Harnoss JC, Ulrich AB, Harnoss JM, Diener M, B\u00fcchler MW, Weisch T et al (2014) Use and results of consensus definitions in pancreatic surgery: a systematic review. Surgery 155(1):47\u201357","journal-title":"Surgery"},{"issue":"9776","key":"2916_CR2","doi-asserted-by":"publisher","first-page":"1514","DOI":"10.1016\/S0140-6736(11)60237-7","volume":"377","author":"MK Diener","year":"2011","unstructured":"Diener MK, Seiler CM, Rossion I, Kleeff J, Glanemann M, Butturini G et al (2011) Efficacy of stapler versus hand-sewn closure after distal pancreatectomy (DISPACT): a randomized, controlled multicentre trial. Lancet 377(9776):1514\u20131522","journal-title":"Lancet"},{"issue":"5","key":"2916_CR3","doi-asserted-by":"publisher","first-page":"723","DOI":"10.1097\/SLA.0000000000001913","volume":"264","author":"M Hassenpflug","year":"2016","unstructured":"Hassenpflug M, Hinz U, Strobel O, Volpert J, Knebel P, Diener M et al (2016) Teres ligament patch reduces relevant morbidity after distal pancreatectomy (the DISCOVER Randomized Controlled Trial). Ann Surg 264(5):723\u2013730","journal-title":"Ann Surg"},{"issue":"1","key":"2916_CR4","doi-asserted-by":"publisher","first-page":"180","DOI":"10.1097\/SLA.0000000000001395","volume":"264","author":"M Kawai","year":"2016","unstructured":"Kawai M, Hirono S, Okada K, Sho M, Nakajima Y, Eguchi H et al (2016) Randomized controlled trial of panreaticojejunostomy versus stapler closure of the pancreatic stump during distal pancreatectomy to reduce pancreatic fistula. Ann Surg 264(1):180\u2013187","journal-title":"Ann Surg"},{"issue":"1","key":"2916_CR5","doi-asserted-by":"publisher","first-page":"72","DOI":"10.1016\/j.surg.2020.02.018","volume":"168","author":"Y Miao","year":"2020","unstructured":"Miao Y, Lu Z, Yeo C, Vollmer C, Fernandez-del Castillo C, Ghaneh P, International Study Group of Pancreatic Surgery (ISGPS) et al (2020) Management of the pancreatic transection plane after left (distal) pancreatectomy: expert consensus guidelines by the International Study Group of Pancreatic Surgery (ISGPS). Surgery 168(1):72\u201384","journal-title":"Surgery"},{"issue":"3","key":"2916_CR6","doi-asserted-by":"publisher","first-page":"584","DOI":"10.1016\/j.surg.2016.11.014","volume":"161","author":"C Bassi","year":"2017","unstructured":"Bassi C, Marchegiani G, Dervenis C, Sarr M, Abu Hilal M, Adham M, International Study Group of Pancreatic Surgery (ISGPS) et al (2017) The 2016 update of the International Study Group (ISGPS) definition and grading of postoperative pancreatic fistula: 11 years after. Surgery 161(3):584\u2013591","journal-title":"Surgery"},{"issue":"2","key":"2916_CR7","doi-asserted-by":"publisher","first-page":"190","DOI":"10.1002\/bjs.4032","volume":"90","author":"MM Bilimoria","year":"2003","unstructured":"Bilimoria MM, Cormier JN, Mun Y, Lee JE, Evans DB, Pisters PW (2003) Pancreatic leak after left pancreatectomy is reduced following main pancreatic duct ligation. Br J Surg 90(2):190\u2013196","journal-title":"Br J Surg"},{"key":"2916_CR8","doi-asserted-by":"publisher","first-page":"320","DOI":"10.1159\/000445017","volume":"33","author":"D Koll\u00e1r","year":"2016","unstructured":"Koll\u00e1r D, Husz\u00e1r T, Poh\u00e1rnok Z, Cselovszky \u00c9, Ol\u00e1h A (2016) A review of techniques for closure of the pancreatic remnant following distal pancreatectomy. Dig Surg 33:320\u2013328","journal-title":"Dig Surg"},{"issue":"6","key":"2916_CR9","doi-asserted-by":"publisher","first-page":"4033","DOI":"10.1007\/s00464-021-08724-3","volume":"36","author":"L Landoli","year":"2021","unstructured":"Landoli L, De Pastena M, Fontan M, Malleo G, Esposito A, Casetti L et al (2021) A randomized controlled trial of stapled versus ultrasonic transection in distal pancreatectomy. Surg Endosc 36(6):4033\u20134041","journal-title":"Surg Endosc"},{"issue":"3","key":"2916_CR10","doi-asserted-by":"publisher","first-page":"265","DOI":"10.1093\/bjs\/znaa113","volume":"108","author":"J Wennerblom","year":"2021","unstructured":"Wennerblom J, Ateeb Z, J\u00f6nsson C, Bj\u00f6rnsson B, Tingstedt B, Williamsson C et al (2021) Reinforced versus standard stapler transection on postoperative pancreatic fistula in distal pancreatectomy: multicentre randomized clinical trial. Br J Surg 108(3):265\u2013270","journal-title":"Br J Surg"},{"issue":"6","key":"2916_CR11","doi-asserted-by":"publisher","first-page":"602","DOI":"10.1002\/bjs.6620","volume":"96","author":"A Ol\u00e1h","year":"2009","unstructured":"Ol\u00e1h A, Issekutz A, Bel\u00e1gyi T, Hajdu N, Romics I Jr (2009) Randomized clinical trial of techniques for closure of the pancreatic remnant following distal pancreatectomy. Br J Surg 96(6):602\u2013607","journal-title":"Br J Surg"},{"issue":"5","key":"2916_CR12","doi-asserted-by":"publisher","first-page":"536","DOI":"10.1002\/bjs.10458","volume":"104","author":"K Uemura","year":"2017","unstructured":"Uemura K, Satoi S, Motoi F, Kwon M, Unno M, Murakami Y (2017) Randomized clinical trial of duct-to-mucosa pancreaticogastrostomy versus handsewn closure after distal pancreatectomy. Br J Surg 104(5):536\u2013543","journal-title":"Br J Surg"},{"issue":"5","key":"2916_CR13","doi-asserted-by":"publisher","first-page":"1444","DOI":"10.1016\/j.surg.2016.09.005","volume":"161","author":"T Hackert","year":"2017","unstructured":"Hackert T, Klaiber U, Hinz U, Kehayova T, Probst P, Knebel P et al (2017) Sphincter of Oddi botulinum toxin injection to prevent pancreatic fistula after distal pancreatectomy. Surgery 161(5):1444\u20131450","journal-title":"Surgery"},{"issue":"9","key":"2916_CR14","doi-asserted-by":"publisher","first-page":"971","DOI":"10.1053\/jars.2001.28979","volume":"17","author":"J Kartus","year":"2001","unstructured":"Kartus J, Movin T, Karlsson J (2001) Donor-site morbidity and anterior knee problems after anterior cruciate ligament reconstruction using autograft. Arthroscopy 17(9):971\u2013980","journal-title":"Arthroscopy"},{"key":"2916_CR15","doi-asserted-by":"publisher","unstructured":"Sekine Y, Sugo H, Iwanaga N, Neshime S, Watanoba I (2020) Relaparotomy two years after incisional hernia repair using a free fascia lata graft. Case Rep Sur (1769404):4.\u00a0https:\/\/doi.org\/10.1155\/2020\/17694041","DOI":"10.1155\/2020\/17694041"},{"issue":"6","key":"2916_CR16","doi-asserted-by":"publisher","first-page":"797","DOI":"10.1016\/j.pan.2022.06.002","volume":"22","author":"EA van Bodegraven","year":"2022","unstructured":"van Bodegraven EA, De Pastena M, Vissers FL, Balduzzi A, Stauffer J, Esposito A et al (2022) Routine prophylactic abdominal drainage versus no-drain strategy after distal pancreatectomy: a multicenter propensity score matched analysis. Pancreatology 22(6):797\u2013802","journal-title":"Pancreatology"}],"container-title":["Langenbeck's Archives of Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00423-023-02916-2.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00423-023-02916-2\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00423-023-02916-2.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,1,19]],"date-time":"2024-01-19T00:06:01Z","timestamp":1705622761000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00423-023-02916-2"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,5,4]]},"references-count":16,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2023,12]]}},"alternative-id":["2916"],"URL":"https:\/\/doi.org\/10.1007\/s00423-023-02916-2","relation":{},"ISSN":["1435-2451"],"issn-type":[{"value":"1435-2451","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,5,4]]},"assertion":[{"value":"29 September 2022","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"28 April 2023","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"4 May 2023","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional research committee (Regional and Institutional Research-Ethical Committee of the University of P\u00e9cs, file number:9006-PTE 2021) and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. This article does not contain any studies with animals performed by any of the authors.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Written informed consent was obtained from the patients.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Informed consent"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}}],"article-number":"176"}}