Laparoscopic Longitudinal Pancreaticojejunostomy Using Barbed Sutures: an Efficient and Secure Solution for Pancreatic Duct Obstructions in Patients with Chronic Pancreatitis

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• 作者：Eun Young Kim ; Tae Ho Hong
• 关键词：Chronic pancreatitis ; Laparoscopy ; Longitudinal pancreaticojejunostomy
• 刊名：Journal of Gastrointestinal Surgery
• 出版年：2016
• 出版时间：April 2016
• 年：2016
• 卷：20
• 期：4
• 页码：861-866
• 全文大小：5,185 KB
• 参考文献：1.Puestow CB, Gillesby WJ. Retrograde surgical drainage of pancreas for chronic relapsing pancreatitis. AMA Arch Surg 1958;76:898–907.CrossRef PubMed
  2.Adams DB. The Puestow procedure: how I do it. J Gastrointest Surg 2013;17:1138–1142.CrossRef PubMed
  3.Sahoo MR, Kumar A. Laparoscopic longitudinal pancreaticojejunostomy using cystoscope and endoscopic basket for clearance of head and tail stones. Surg Endosc 2014;28:2499–2503.CrossRef PubMed
  4.Zhang JS, Li L, Liu SL, Hou WY, Diao M, Zhang J, Li SL, Ming AX, Liu Y, Wang HB, Cheng W. Laparoscopic pancreaticojejunostomy for pancreatic ductal dilatation in children. J Pediatr Surg 2012;47:2349–2352.CrossRef PubMed
  5.Tanaka M, Matsumoto I, Shinzeki M, Asari S, Goto T, Yamashita H, Ishida J, Ajiki T, Fukumoto T, Ku Y. Short- and long-term results of modified Frey's procedure in patients with chronic pancreatitis: a retrospective Japanese single-center study. Kobe J Med Sci 2014;60:E30-36.PubMed
  6.Dite P, Ruzicka M, Zboril V, Novotný I. A prospective, randomized trial comparing endoscopic and surgical therapy for chronic pancreatitis. Endoscopy 2003;35:553–558.CrossRef PubMed
  7.Cahen DL, Gouma DJ, Nio Y, Rauws EA, Boermeester MA, Busch OR, Stoker J, Laméris JS, Dijkgraaf MG, Huibregtse K, Bruno MJ. Endoscopic versus surgical drainage of the pancreatic duct in chronic pancreatitis. N Engl J Med 2007;356:676–684.CrossRef PubMed
  8.Rieder S, Michalski CW, Friess H. Indications for endoscopic or surgical treatment of chronic pancreatitis. Dig Dis 2010;28:344–349.CrossRef PubMed
  9.Jeppe CY, Becker P, Smith MD. Post-Frey procedure quality of life in South African patients with painful chronic pancreatitis. JOP 2013;14:21–30.PubMed
  10.Laje P, Adzick NS. Modified Puestow procedure for the management of chronic pancreatitis in children. J Pediatr Surg 2013;48:2271–2275.CrossRef PubMed
  
• 作者单位：Eun Young Kim (1)
  Tae Ho Hong (1)
  
  1. Department of Hepato-biliary and Pancreas Surgery, College of Medicine, Seoul St. Mary’s Hospital, The Catholic University of Korea, Banpo-daero 222, Seocho-gu, Seoul, 137-701, Republic of Korea
  
• 刊物主题：Surgery; Gastroenterology;
• 出版者：Springer US
• ISSN：1873-4626

文摘

We describe our laparoscopic longitudinal pancreaticojejunostomy (LPJ) technique using barbed sutures to manage a pancreatic duct obstruction. We performed laparoscopic longitudinal anterior pancreaticojejunostomy using barbed sutures (3-0 absorbable wound closure device, V-Loc™, Covidien, Minneapolis, MN, USA) in 11 patients who presented with signs of a pancreas ductal obstruction and chronic pancreatitis. The surgical outcomes and follow-up records at the outpatient department were reviewed, and the effectiveness and feasibility of this method were analyzed. Mean patient age was 54.4 ± 9.5 years, and pancreatic duct stones were removed from all patients without conversion to laparotomy. Overall operative time was 200.7 ± 56.4 min, and estimated blood loss was 42.2 ± 11.2 ml. No pancreatic anastomosis leakage or postoperative bleeding was detected. Mean length of hospital stay was 6.5 ± 0.8 days, and mean time to start a soft diet was 4.8 ± 0.7 days. No patient complained of postoperative abdominal pain, and all patients recovered without significant complications or relapse of pancreatitis. The follow-up period was 4–21 months. Our new laparoscopic longitudinal anterior pancreaticojejunostomy technique (Puestow procedure) using barbed sutures is a potentially efficient and minimally invasive procedure for patients who suffer from pancreatic duct obstruction and chronic pancreatitis.