Laparoscopic lateral pancreaticojejunostomy

Palanivelu, C.; Shetty, Roshan; Jani, Kalpesh; Rajan, P. S.; Sendhilkumar, K.; Parthasarthi, R.; Malladi, Vijaykumar

doi:10.1007/s00464-005-0680-x

Cited by 39 publications

(25 citation statements)

References 11 publications

(8 reference statements)

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“…Since then, a handful of small series reports for adults have been published [5,6]. To date, we could not find any pediatric laparoscopic case reports on LPJ in our recent literature search.…”

Section: Discussionmentioning

confidence: 77%

Robotic lateral pancreaticojejunostomy (Puestow)

Meehan¹,

Sawin²

2011

Journal of Pediatric Surgery

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Section: Discussionmentioning

confidence: 77%

Robotic lateral pancreaticojejunostomy (Puestow)

Meehan¹,

Sawin²

2011

Journal of Pediatric Surgery

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“…A 60 cm long section of the jejunal limb is usually brought through the base of the right transverse mesocolon (17). Pancreatic proximal resection and internal pseudocyst drainage are performed in both open and laparoscopic procedures in selected centers (10,36,45). The results of these two techniques are similar, but it should be noted that patients undergoing laparoscopy are preselected and the presented series are relatively small.…”

Section: Internal Pancreatic Fistula Treatmentmentioning

confidence: 74%

Internal Pancreatic Fistulae - Management Review

Hać¹,

Śledziński²

2008

Polish Journal of Surgery

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“…It offers short-term pain relief in 80% of patients; unfortunately, the pain not infrequently recurs within 3 to 5 years after the procedure. Special points This procedure can be performed laparoscopically, but this is demanding [32,33]. A previous history of a trial of endoscopic drainage with stents does not adversely affect pain relief achieved by pancreaticojejunostomy [34].…”

Section: Standard Proceduresmentioning

confidence: 99%

Treatment of pancreatic strictures

Cohen¹,

Siegel

Kasmin³

2007

Curr Treat Options Gastro

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The diagnosis and treatment of patients with pancreatic strictures presents a multitude of clinical challenges. The etiology of pancreatic strictures is varied, including benign strictures subsequent to acute pancreatitis, trauma, postsurgical, post-endoscopic retrograde cholangiopancreatography (ERCP), and malignancy. Patients with strictures usually present with symptoms of recurrent pancreatitis, abdominal pain, weight loss, and/or steatorrhea. The absence of a prior history of pancreatitis or surgery increases the likelihood of malignancy. High-quality imaging studies of the pancreas, CT, MRI/magnetic resonance cholangiopancreatography, or endoscopic ultrasound (EUS) scanning are utilized for better definition. Imaging detects an associated mass and/or demonstrates the ductal anatomy. Invasive procedures such as ERCP are performed to better define the causal relationships of the patient's symptoms or to obtain tissue diagnosis. Treatment goals include ameliorating symptoms, dilating the stricture, and ruling out cancer. The risk of malignancy underlies much of the intervention, which includes serology, cytologic analysis, and serial imaging. EUS has become the procedure of choice to rule out a mass, to evaluate the parenchyma for evidence of chronic pancreatitis, and to obtain fine-needle biopsies for tissue confirmation. In symptomatic patients or patients with indeterminate strictures, ERCP is used for direct pancreatography, tissue acquisition, and endoscopic treatment. Endotherapy includes sphincterotomy, dilation, and stenting to provide drainage. We view ERCP as the optimal first-line treatment modality. ERCP offers the potential of curative treatment and is less invasive than surgery, especially as some patients' symptoms are not severe enough to justify surgery. If patients do not experience relief of symptoms after several sessions of endoscopic therapy, surgery is the logical next step for definitive, long-term treatment.

show abstract

Laparoscopic lateral pancreaticojejunostomy

Abstract: Laparoscopic lateral pancreaticojejunostomy is safe, effective and feasible in experience hands. Mastery of intracorporeal knotting and suturing techniques is mandatory before embarking on this surgery.

Cited by 39 publications

References 11 publications

Robotic lateral pancreaticojejunostomy (Puestow)

Robotic lateral pancreaticojejunostomy (Puestow)

Internal Pancreatic Fistulae - Management Review

Treatment of pancreatic strictures

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