Laparoscopic Beger procedure for the treatment of chronic pancreatitis: a single-centre first experience

摘要: The Beger procedure is a common surgical option in the management of unremitting abdominal pain chronic pancreatitis (CP). As an organ-sparing surgery, it might be better choice than pancreatoduodenectomy (PD). However, rather challenging for surgeons to perform laparoscopically, especially patients with CP; indeed, has rarely reported. Here, we describe technique and results our early experience laparoscopic treatment CP. Five (1 male) CP (alcohol induced, n = 3; idiopathic, n = 2) who underwent from May October 2019 West China Hospital were included this study. median pancreatic duct diameter was 6.8 (4 12) mm. operating time 275 (150 305) minutes without conversion. Only one patient (20%) developed grade B fistula. One required re-operation jejunal anastomotic bleeding on first post-operative day. hospital stay 11 (9 34) days. No experienced biliary fistula, gastroparesis, duodenal necrosis, or bleeding. 90-day mortality rate 0%. All free two months after operation. feasible safe good short-term some potential benefits selected pancreatitis. Further study longer follow-up are required.