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June 17, 2026Asian Journal of Endoscopic SurgeryOpen Access

Central Pancreatectomy with Duct‐to‐Mucosa Pancreaticogastrostomy Using a Knotless Continuous Suturing Technique: Initial Experience with a Totally Laparoscopic Approach

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Authors

MKMampei KawashimaAMAkira MatsushitaAHAkira Hamaguchi

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Overview

Retrospective trial evaluates the laparoscopic approach to central pancreatectomy, suggesting feasibility and safety in selected patients.

Key Points

  • This study aims to assess the feasibility of totally laparoscopic central pancreatectomy using a knotless continuous suturing technique.
  • Retrospective two-institution study evaluating totally laparoscopic central pancreatectomy.
  • Standardized risk-oriented surgical design utilized stapler-based pancreatic transection and duct-to-mucosa pancreaticogastrostomy.
  • Open central pancreatectomy served as a reference for comparison.
  • All laparoscopic procedures were completed without conversion to open surgery.
  • One patient developed a clinically relevant postoperative pancreatic fistula (ISGPS grade B).
  • No postpancreatectomy hemorrhage, reintervention, or mortality were reported.

Cite This Study

Kawashima et al. (2026) studied this question.

synapsesocial.com/papers/6a323aa6d50b63ecad205986https://doi.org/10.1111/ases.70325
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