Suture or Stapler: A Systematic Review and Meta-analysis on Stump Closure after Distal Pancreatectomy.

• Grant number: 23/07029-6
• Support Opportunities: Scholarships in Brazil - Scientific Initiation
• Start date: July 01, 2023
• End date: June 30, 2024
• Field of knowledge: Health Sciences - Medicine - Surgery
• Principal Investigator: Alberto Luiz Monteiro Meyer
• Grantee: Amanda de Oliveira Silva Nascimento
• Host Institution: Hospital das Clínicas da Faculdade de Medicina da USP (HCFMUSP). Secretaria da Saúde (São Paulo - Estado). São Paulo , SP, Brazil

Abstract

Postoperative Pancreatic Fistula is one of the most alarming complications after a pancreas procedure, such as a distal pancreatectomy (frequently performed on oncological patients). This condition increases morbidity and mortality in individuals who already had their quality of life affected before being subjected to surgery. Postoperative pancreatic fistula development can boost the chance of intra-abdominal abscess and hemorrhage occurrence, both worrisome postoperative outcomes. Literature lacks a recent systematic review comparing efficacy of staplers and hand-sewn sutures for stump closure to prevent fistula formation after distal pancreatectomy. The objective of the present study is to update the literature with a new systematic review, including recent articles on the theme.