Surgery Open Science · Published 2026-07-08 · DOI 10.1016/j.sopen.2026.06.007
Quanda Liu, Yan Sun, Xiaoya Xu, Zheng Wang, Longchang Chen, Liuxin Duan
Background and objectives: External pancreatic fistula (EPF) is a common consequence of partial pancreatectomy or percutaneous treatments for infected pancreatic necrosis. It has traditionally been treated surgically with distal pancreatectomy, Roux-en-Y pancreaticoenterostomy, or fistuloenterostomy. Methods and results: This study introduces a novel technique of laparoscopic stent-bridging fistulogastrostomy, which was used for a 40-year-old female experiencing refractory post-pancreatectomy high-output EPF. We present a standardized management protocol for this procedure, which includes preoperative clinical and radiologic diagnosis of disconnected pancreatic duct syndrome and persistent EPF, detailed surgical steps with technical tips accompanied by a video demonstration, and perioperative care to facilitate postoperative recovery. The patient's postoperative course was uneventful. This technique simplifies a challenging and complex procedure, making it reproducible and teachable. Conclusion: This novel technique provides a minimally invasive surgical solution for refractory EPF. Our experience shows that stent-bridging fistulogastrostomy is simple, safe, and effective. Further prospective studies are warranted to validate its long-term outcomes.
Abstract from DOAJ. Public domain (CC0 1.0).
Read the article at the publisher →
Liu, Q., Sun, Y., Xu, X., et al. (2026). Stent-bridging fistulogastrostomy for refractory post-pancreatectomy external pancreatic fistula. Surgery Open Science. https://doi.org/10.1016/j.sopen.2026.06.007