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- W2894732288 abstract "Introduction: Surgical options for patients of chronic pancreatitis with refractory pain include drainage and or resectional procedures. Lateral pancreatojejunostomy (LPJ), the commonly performed drainage operation has traditionally been done as open procedure. Methods: Retrospective analysis of chronic pancreatitis patients managed surgically between January 2010–December 2017. All patients were evaluated with a contrast enhanced CT abdomen and an magnetic resonance cholangiopancreatography (MRCP). An Endoscopic USG was done selectively. Surgery was offered to patients with refractory pain despite adequate medical management. A laparoscopic LPJ was done in patients with dilated pancreatic duct with/without intraductal calculi. Postoperatively, patients were managed in surgical intensive care and after discharge followed up at 2 weeks, 1, 3 and 6 months thereafter. Results: During the study period 39 patients underwent a laparoscopic LPJ and constituted the study group. There were 23 females and mean age was 37 (12–58) years. Pain was main indication of surgery. Nine patients had diabetes and 6 steatorrhea. Mean MPD diameter was 14.3(8–25) mm. The mean duration of surgery was 180 (140–340) min and blood loss was 110 mL. There was no mortality. Postoperative hospital stay was 5 (3–9) days and satisfactory pain relief was seen in 91% on at least 3 months follow-up. Conclusion: Laparoscopic LPJ is feasible and safe and offers good pain control with added benefits of laparoscopic approach." @default.
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- W2894732288 date "2018-09-01" @default.
- W2894732288 modified "2023-10-17" @default.
- W2894732288 title "Laparoscopic lateral pancreaticojejunostomy (LPJ) for the treatment of chronic calcific pancreatitis" @default.
- W2894732288 doi "https://doi.org/10.1016/j.hpb.2018.06.2325" @default.
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