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Comment on "Use of Seamguard to Prevent Pancreatic Leak Following Distal Pancreatectomy"

William G. Hawkins, MD

Arch Surg. 2009;144(10):899.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Yamamoto and colleagues are to be congratulated on the third and, thus far, the largest single-institution series examining the addition of a buttress to reinforce a stapled distal pancreatic transection. I, along with my colleagues, have also presented a case series on this subject,¹ and, like my own, the article by Yamamoto et al has a number of significant shortcomings that prevent a definitive conclusion regarding the effectiveness of buttressing.

In this series, the authors interpret their data to suggest that the use of Seamguard to reinforce a stapler likely reduces the incidence of pancreatic occlusion failure. The major weakness of their conclusion stems from the fact that this is a retrospective review of nonstandardized techniques used at the surgeon's discretion. The possibility that these results represent nothing more than accidental selection of a favorable patient group should be strongly considered. An example of how surgeon . . . [Full Text of this Article]

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RELATED ARTICLE

Use of Seamguard to Prevent Pancreatic Leak Following Distal Pancreatectomy
Maki Yamamoto, Michael S. Hayashi, Ninh T. Nguyen, Thang D. Nguyen, Scott McCloud, and David K. Imagawa
Arch Surg. 2009;144(10):894-899.
ABSTRACT | FULL TEXT