Distal resection of pancreas

Laparoscopic Distal pancreatectomy combined with Frey procedure

Laparoscopic Distal pancreatectomy combined with Frey procedure
Izrailov R.E., Andrianov A.V. (2016)

Moscow Clinical Scientific Centre, Moscow, Russia

Women with chronic pancreatitis, 55 years old, with chronic abdominal pain and completed bleeding in cyst of the tail of the pancreas. The size of the pancreatic head was 60 mm, the diameter of the main pancreatic duct was 8 mm. The procedures were performed through the 5 trocar accesses. Intraoperativelly were used following instruments: harmonic scalpel, monopolar coagulation, 5-10 mm trocars, Endo GIA Universal stapling system. After the pancreas mobilization and visualization vena mesanterica superior and splenic vein distal part of the pancreas was resected. The head of the pancreas was stitched with the stay sutures on the border of resection. The main pancreatic duct was opened with an active branch of the Harmonic scalpel. Ventral part of the head of pancreas was resected. A side-to-side pancreaticojejunoanastomosis was formed with single-layer continuous sutures using nonabsorbable materials. The pancreaticojejunoanastomosis was covered additionally with a strand of greater omentum.

The operating time was 660 minutes. Blood loss was 600 ml. There was no complication. The postoperative stay period was 6 days. The follow-up is 2 months. Patient is pain free.