Abstract
Pancreatic fistula is a major postoperative complication after pancreatic resection, which may change considerably the postoperative course. One of the main risk factors of developing the pancreatic fistula after distal pancreatectomy is the method exployed for the management of the pancreatic remnant.
Manual suture of the pancreatic remnant has been shown to be superior over other techniques. However, this technique is not feasible in laparoscopic approach.
The aim of the work is to analyze the rate of pancreatic fistula in a group of patients with open distal pancreatectomy.Based on the experience with the experimental work, we introduced the laparoscopic distal pancreatectomy to the human medicine. It is technically very demanding procedure which requires advanced laparoscopic skills as well as experience with open pancreatic resections.