The international surgical journal with global reach

This is the Scientific Surgery Archive, which contains all randomized clinical trials in surgery that have been identified by searching the top 50 English language medical journal issues since January 1998. Compiled by Jonothan J. Earnshaw, former Editor-in-Chief, BJS

Safety of combined division vs separate division of the splenic vein in patients undergoing distal pancreatectomy. A noninferiority randomized clinical trial. JAMA Surg 2021; 156: 418-428.

Published: 24th November 2021

Authors: Yamada S, Fujii T, Sonohara F, Kawai M, Shibuya K, Matsumoto I et al.


Two methods of dividing the splenic vein were compared in this study that included 316 procedures. There was no difference in the rate of pancreatic fistula between the methods (28.6 per cent combined, versus 27.1 per cent separate), and it was concluded the splenic vein could safely be divided within the pancreatic parenchyma, without being dissected out and isolated.

Pubmed Link