TY - JOUR T1 - Pancreaticoenterostomy With Seromuscular-parenchymal Anastomosis for Prevention of Postoperative Pancreatic Fistula in Distal Pancreatectomy JF - Anticancer Research JO - Anticancer Res SP - 4153 LP - 4157 DO - 10.21873/anticanres.15914 VL - 42 IS - 8 AU - SATOSHI TANIWAKI AU - DAISUKE MUROYA AU - YOSHITO WADA AU - KOUJI OKUDA AU - HIROTOSHI TSURU AU - HISAAKI SHIMOKOUBE AU - YUICH NAGAO AU - KOUJI HAYASHI AU - YUKI YOSHIMOTO Y1 - 2022/08/01 UR - http://ar.iiarjournals.org/content/42/8/4153.abstract N2 - Background/Aim: There have been several attempts to prevent the development of a postoperative pancreatic fistula (POPF) after distal pancreatectomy (DP); however, there is no established method yet. In the present study, we investigated whether POPF can be prevented using pancreaticoenterostomy with seromuscular-parenchymal anastomosis. Patients and Methods: We evaluated the incidence of POPF and complications in 20 patients who underwent DP since August 2014, wherein pancreaticoenterostomy with seromuscular-parenchymal anastomosis was performed. Results: No patient developed POPF, and only 4 patients developed a biochemical leak. Postoperative complications (Clavien–Dindo classification: CD) occurred in 5 patients (Grade IIIa in 2 cases, Grade II in 2 cases, and Grade I in 1 case). In a case of CD Grade II, a gastric ulcer was formed at the pancreatico-gastric anastomosis. Conclusion: Although new complications, such as the formation of ulcers, consistent with pancreatic anastomosis, were noted, the present method was useful in preventing POPF. ER -