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A novel technique reinforces pancreatic stump in high-risk patients, suggesting improved outcomes for fistula prevention.
Clinically relevant postoperative pancreatic fistula (CR‐POPF) remains a significant morbidity after distal pancreatectomy (DP). The article describes a novel technique using a rotational Gerota's fascia flap to reinforce the pancreatic stump in patients at high risk for CR‐POPF. This method offers a readily accessible, autologous, vascularized tissue option that may be valuable when omentum or falciform ligament tissue is inadequate. To our knowledge, this represents the first described use of Gerota's fascia for pancreatic stump reinforcement.
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Gadiwalla et al. (2025) studied this question.
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