Chronic calcifying pancreatitis: surgical approach by technical laparoscopic Partington Rochelle
DOI:
https://doi.org/10.15381/anales.v82i1.17011Keywords:
pancreatitis; chronic; pancreaticojejunostomy; laparoscopy.Abstract
Chronic calcifying pancreatitis (CCP) is the most common form of chronic pancreatitis and is related to chronic disabling pain and progressive pancreatic insufficiency. The management of chronic abdominal pain in CCP represents a challenge with the use of opiates that generate tolerance and dependence. For this reason, a staggered treatment is proposed, progressing from medical and endoscopic treatment to surgery in order to relieve pain and preserve pancreatic function. Lateral pancreatoyejunostomy (LPY) or Partington Rochelle procedure, is the most frequent technique of choice in patients with chronic pain due to CCP refractory to medical and endoscopic treatment associated with dilation of the main pancreatic duct. We report the case of a patient with a diagnosis of CCP undergoing laparoscopic PYL, being the first report in Peru, we describe the technique used and the complication treated successfully. The relevant literature is reviewed.
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