CASI CLINICI   

Chirurgia 2014 June;27(3):201-3

Copyright © 2014 EDIZIONI MINERVA MEDICA

lingua: Inglese

Double pancreaticojejunostomy without pancreatic resection for treatment of main pancreatic duct injury with pancreatic fistula: a case report

Yeol Paik K.

Department of Surgery, Yeouido St. Mary’s Hospital, Catholic University of Korea College of Medicine, Seoul, Korea

We experienced surgical management in a 68-year-old female patient with main pancreatic duct injury during urologic laparoscopic operation. Hepatobiliary surgeon repaired pancreatic duct which is suggested minor duct using surgical clip during initial operation to avoid laparotomy. After that, we detected the main pancreatic duct injury at pancreatic head portion. Unless conservative therapy for a month, the amount of pancreatic juice via external drain was not reduced, we decided the operation to control pancreatic fistula. We performed blunt primary repair for injured pancreas head portion and pancreas neck division. For preservation of whole pancreas, double pancreaticojejunostomy at distal and proximal stump were performed using jejunal Roux limb. The result of pancreaticojejunostomy was successful. Pancreaticojejunostomy without pancreatectomy can be a treatment option in patients with main pancreatic injury to preserve pancreas volume.