Stump Ischemia Is a Possible Risk Factor for Late‐Onset Pancreatic Fistula After Distal Pancreatectomy

Puntos clave

• The study aims to investigate the relationship between stump ischemia and the occurrence of late-onset pancreatic fistula (LOPF) after distal pancreatectomy.
• Analyzed early postoperative CT scans for ischemic bands along stapler lines post-distal pancreatectomy.
• Recommended conservative drain management and close follow-up in patients with ischemic bands ≥ 2 mm.
• Identified an ischemic band of ≥ 2 mm as a significant risk factor for LOPF after stapled distal pancreatectomy.
• Close monitoring and conservative management are advised when such ischemic bands are detected.