Age

18–75

Sex

ALL

Healthy volunteers

Not accepted

All patients who undergo DP whether made by open or laparoscopic surgery;
Patients age 18 to 75 years;
Patients benefit from distal pancreatectomy according to NCCN guidelines;
The subject understands the nature of this trial and willing to comply, and ability to provide written informed consent.

Distant metastases: peritoneal carcinomatosis, liver metastases, distant lymph node metastases, involvement of other organs;
History of abdominal disease or surgery which may results in obvious omentum adhesion;
Synchronous malignancy in other organs;
Patients with high operative risk as defined by the American Society of Anesthesiologists (ASA) score \>4;
Pregnant women.

Greater Omentum Binding to the Pancreatic Stump to Prevent Pancreatic Fistula Following Distal Pancreatectomy