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Laparoscopic side-to-side pancreaticojejunostomy for chronic pancreatitis in children

Surgical pancreatic duct (PD) drainage for chronic pancreatitis in children is relatively rare. It is indicated in cases of recurrent pancreatitis and PD dilatation that have not responded to medical therapy and therapeutic endoscopy. We performed laparoscopic side-to-side pancreaticojejunostomy for...

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Autores principales: Deie, Kyoichi, Uchida, Hiroo, Kawashima, Hiroshi, Tanaka, Yujiro, Fujiogi, Michimasa, Amano, Hizuru, Murase, Naruhiko, Tainaka, Takahisa
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5022521/
https://www.ncbi.nlm.nih.gov/pubmed/27251846
http://dx.doi.org/10.4103/0972-9941.182655
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author Deie, Kyoichi
Uchida, Hiroo
Kawashima, Hiroshi
Tanaka, Yujiro
Fujiogi, Michimasa
Amano, Hizuru
Murase, Naruhiko
Tainaka, Takahisa
author_facet Deie, Kyoichi
Uchida, Hiroo
Kawashima, Hiroshi
Tanaka, Yujiro
Fujiogi, Michimasa
Amano, Hizuru
Murase, Naruhiko
Tainaka, Takahisa
author_sort Deie, Kyoichi
collection PubMed
description Surgical pancreatic duct (PD) drainage for chronic pancreatitis in children is relatively rare. It is indicated in cases of recurrent pancreatitis and PD dilatation that have not responded to medical therapy and therapeutic endoscopy. We performed laparoscopic side-to-side pancreaticojejunostomy for two paediatric patients with chronic pancreatitis. The main PD was opened easily by electrocautery after locating the dilated PD by intraoperative ultrasonography. The dilated PD was split longitudinally from the pancreatic tail to the pancreatic head by laparoscopic coagulation shears or electrocautery after pancreatography. A laparoscopic side-to-side pancreaticojejunostomy was performed by a one-layered technique using continuous 4-0 polydioxanone (PDS) sutures from the pancreatic tail to the pancreatic head. There were no intraoperative or postoperative complications or recurrences. This procedure has cosmetic advantages compared with open surgery for chronic pancreatitis. Laparoscopic side-to-side pancreaticojejunostomy in children is feasible and effective for the treatment of chronic pancreatitis.
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spelling pubmed-50225212016-10-01 Laparoscopic side-to-side pancreaticojejunostomy for chronic pancreatitis in children Deie, Kyoichi Uchida, Hiroo Kawashima, Hiroshi Tanaka, Yujiro Fujiogi, Michimasa Amano, Hizuru Murase, Naruhiko Tainaka, Takahisa J Minim Access Surg Unusual Case Surgical pancreatic duct (PD) drainage for chronic pancreatitis in children is relatively rare. It is indicated in cases of recurrent pancreatitis and PD dilatation that have not responded to medical therapy and therapeutic endoscopy. We performed laparoscopic side-to-side pancreaticojejunostomy for two paediatric patients with chronic pancreatitis. The main PD was opened easily by electrocautery after locating the dilated PD by intraoperative ultrasonography. The dilated PD was split longitudinally from the pancreatic tail to the pancreatic head by laparoscopic coagulation shears or electrocautery after pancreatography. A laparoscopic side-to-side pancreaticojejunostomy was performed by a one-layered technique using continuous 4-0 polydioxanone (PDS) sutures from the pancreatic tail to the pancreatic head. There were no intraoperative or postoperative complications or recurrences. This procedure has cosmetic advantages compared with open surgery for chronic pancreatitis. Laparoscopic side-to-side pancreaticojejunostomy in children is feasible and effective for the treatment of chronic pancreatitis. Medknow Publications & Media Pvt Ltd 2016 /pmc/articles/PMC5022521/ /pubmed/27251846 http://dx.doi.org/10.4103/0972-9941.182655 Text en Copyright: © Journal of Minimal Access Surgery http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.
spellingShingle Unusual Case
Deie, Kyoichi
Uchida, Hiroo
Kawashima, Hiroshi
Tanaka, Yujiro
Fujiogi, Michimasa
Amano, Hizuru
Murase, Naruhiko
Tainaka, Takahisa
Laparoscopic side-to-side pancreaticojejunostomy for chronic pancreatitis in children
title Laparoscopic side-to-side pancreaticojejunostomy for chronic pancreatitis in children
title_full Laparoscopic side-to-side pancreaticojejunostomy for chronic pancreatitis in children
title_fullStr Laparoscopic side-to-side pancreaticojejunostomy for chronic pancreatitis in children
title_full_unstemmed Laparoscopic side-to-side pancreaticojejunostomy for chronic pancreatitis in children
title_short Laparoscopic side-to-side pancreaticojejunostomy for chronic pancreatitis in children
title_sort laparoscopic side-to-side pancreaticojejunostomy for chronic pancreatitis in children
topic Unusual Case
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5022521/
https://www.ncbi.nlm.nih.gov/pubmed/27251846
http://dx.doi.org/10.4103/0972-9941.182655
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