Risk of Postoperative Pancreatic Fistula Tied to Vein Anatomy

Left gastric vein anatomy impacts the risk of pancreatic fistula after laparoscopic gastrectomy.

  • Among 566 patients, 2.5% developed postoperative pancreatic fistula (POP).
  • Type C vein anatomy (dorsal to the splenic artery) had a 17.9% POP rate, compared to just 1.7% for other types (p < 0.001).

Consider robotic gastrectomy to reduce POP risk, especially in patients with type C anatomy.

  • No POP events occurred after robotic gastrectomy in this study.

Journal Article by Matsumoto Y, Terashima M (…) Bando E et 6 al. in Surg Endosc

© 2026. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.

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