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Laparoscopic pylorus-preserving pancreatoduodenectomy

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Abstract

A case of chronic pancreatitis localized in the head of the pancreas with pancreas divisum was treated by laparoscopic pylorus-preserving pancreatoduodenectomy. The laparoscopic technique of resection and reconstruction with a gastrojejunostomy, hepaticojejunostomy, and pancreaticojejunostomy is described. The postoperative period was complicated by a jejunal ulcer and delayed gastric emptying necessitating a prolonged hospitalization and intravenous hyperalimentation. No fistulas occurred, a follow-up CT scan revealed no pancreatic abnormalities, and the patient was discharged in good condition on the 30th postoperative day. Although technically feasible, the laparoscopic Whipple procedure may not improve the postoperative outcome or shorten the postoperative recovery period.

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Authors and Affiliations

  1. Department of Surgery, University of Montréal, Hôtel-Dieu de Montréal, 3840 St-Urbain Street, H2W 1T8, Montréal, Quebec, Canada

    M. Gagner & A. Pomp

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  1. M. Gagner
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  2. A. Pomp
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Gagner, M., Pomp, A. Laparoscopic pylorus-preserving pancreatoduodenectomy. Surg Endosc 8, 408–410 (1994). https://doi.org/10.1007/BF00642443

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  • DOI: https://doi.org/10.1007/BF00642443

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