J Minim Invasive Surg.  2018 Jun;21(2):86-88. 10.7602/jmis.2018.21.2.86.

Laparoscopic Longitudinal Pancreaticojejunostomy for Chronic Obstructive Pancreatitis

• Chong EH
• Lee JW
• Choi SH

• KMID: 2436230
• DOI: http://doi.org/10.7602/jmis.2018.21.2.86

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.

Keyword

Laparoscopic; Minimally invasive surgery; Pancreaticojejunostomy; Chronic pancreatitis

MeSH Terms

Abdominal Pain
Chronic Pain
Diet
Head
Humans
Middle Aged
Minimally Invasive Surgical Procedures
Pancreatic Ducts
Pancreaticojejunostomy*
Pancreatitis*
Pancreatitis, Chronic
Suture Techniques
Tail