Indications for Fibrin Sealing in Pancreatic Surgery with Special Regard to Occlusion of a Nonanastomosed Stump with Fibrin Sealant

  • A. P. Marczell
Conference paper


In surgery of the pancreas, the rate of complications is high due to the specific properties of pancreatic surgery. A report on a new method, used in over 200 cases, proves that fibrin sealant can significantly reduce the complication rate; especially in the Whipple procedure for malignancies, results were improved by

occlusion of the pancreatic stump with fibrin sealant. Among 67 patients treated with this method, there were no perioperative deaths and four patients developed local complications (three fistulae, one pancreatitis) due to technical errors that presumably resulted in incomplete occlusion. The long-term results with regard to endocrine function are satisfactory.


Pancreatic Fistula Pancreatic Surgery Fibrin Sealant Total Pancreatectomy Traumatic Lesion 
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© Springer-Verlag Berlin Heidelberg 1994

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  • A. P. Marczell

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