Laparoscopic pancreaticojejunostomy for pancreatic ductal dilatation in children

J Pediatr Surg. 2012 Dec;47(12):2349-52. doi: 10.1016/j.jpedsurg.2012.08.002.

Abstract

Purpose: The application of laparoscopic surgery in pancreatic surgery in children is limited. In this article, we describe laparoscopic pancreaticojejunostomy for children with congenital pancreatic ductal dilatation.

Methods: Four children with recurrent pancreatitis and pancreatic ductal dilatation underwent laparoscopic pancreaticojejunostomy between July 2009 and November 2011. Longitudinal incision of the dilated pancreatic ducts and side-to-side Roux-Y pancreaticojejunostomy were performed.

Results: Operative time ranged from 103 to 154 min, and blood loss was minimal. The average postoperative hospital stay was 4 to 6 days. There were no pancreatic leaks. None of the patients experienced recurrence of pancreatitis.

Conclusions: Laparoscopic pancreaticojejunostomy for children with congenital pancreatic ductal dilatation is safe and effective.

MeSH terms

  • Anastomosis, Roux-en-Y / methods
  • Child
  • Cholangiopancreatography, Endoscopic Retrograde / methods
  • Dilatation, Pathologic / diagnosis
  • Dilatation, Pathologic / surgery
  • Follow-Up Studies
  • Humans
  • Laparoscopy / methods*
  • Magnetic Resonance Imaging / methods
  • Male
  • Operative Time
  • Pancreatic Ducts / abnormalities*
  • Pancreatic Ducts / surgery
  • Pancreaticojejunostomy / methods*
  • Pancreatitis, Chronic / diagnosis
  • Pancreatitis, Chronic / etiology
  • Patient Safety
  • Pneumoperitoneum, Artificial / methods
  • Sampling Studies
  • Severity of Illness Index
  • Time Factors
  • Treatment Outcome