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Laparoscopic Longitudinal Pancreaticojejunostomy for Chronic Obstructive Pancreatitis
Article in En | WPRIM | ID: wpr-714792
Responsible library: WPRO
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.
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Full text: 1 Index: WPRIM Main subject: Pancreatic Ducts / Pancreatitis / Tail / Pancreaticojejunostomy / Abdominal Pain / Suture Techniques / Minimally Invasive Surgical Procedures / Diet / Pancreatitis, Chronic / Chronic Pain Limits: Humans Language: En Journal: Journal of Minimally Invasive Surgery Year: 2018 Type: Article
Full text: 1 Index: WPRIM Main subject: Pancreatic Ducts / Pancreatitis / Tail / Pancreaticojejunostomy / Abdominal Pain / Suture Techniques / Minimally Invasive Surgical Procedures / Diet / Pancreatitis, Chronic / Chronic Pain Limits: Humans Language: En Journal: Journal of Minimally Invasive Surgery Year: 2018 Type: Article