Laparoscopic Longitudinal Pancreaticojejunostomy for Chronic Obstructive Pancreatitis.
10.7602/jmis.2018.21.2.86
- Author:
Eui Hyuk CHONG
1
;
Jin Woo LEE
;
Sung Hoon CHOI
Author Information
1. Department of Surgery, CHA Bundang Medical Center, CHA University, Seongnam, Korea. feel415@cha.ac.kr
- Publication Type:Brief Communication
- Keywords:
Laparoscopic;
Minimally invasive surgery;
Pancreaticojejunostomy;
Chronic pancreatitis
- MeSH:
Abdominal Pain;
Chronic Pain;
Diet;
Head;
Humans;
Middle Aged;
Minimally Invasive Surgical Procedures;
Pancreatic Ducts;
Pancreaticojejunostomy*;
Pancreatitis*;
Pancreatitis, Chronic;
Suture Techniques;
Tail
- From:Journal of Minimally Invasive Surgery
2018;21(2):86-88
- CountryRepublic of Korea
- Language:English
-
Abstract:
PURPOSE: Longitudinal pancreaticojejunostomy is a treatment option for selected patients with chronic obstructive pancreatitis that is rarely performed laparoscopically. METHODS: A 54-year-old man presented with chronic postprandial abdominal pain. A computed tomography scan revealed multiple calcified stones at the pancreatic head and tail with marked dilation of the pancreatic duct (0.8 cm in diameter). The patient underwent laparoscopic longitudinal pancreticojejunostomy. Impacted stones were removed and Roux-en-Y pancreaticojejunostomy was performed using an intracorporeal suture technique in a longitudinal side-to-side manner. RESULTS: The total operation time and estimated blood loss were 150 min and 50 ml, respectively. The patient tolerated a regular diet without postprandial abdominal pain. Postoperative recovery was uneventful and the patient was discharged on postoperative day 5 in good condition. He returned to work on postoperative day 9. CONCLUSION: Longitudinal pancreaticojejunostomy might be an effective option for relief of chronic pain in treating chronic obstructive pancreatitis.
