Feasibility of laparoscopic modified Frey procedure for chronic pancreatitis: a prospective 6 case series.

IF 1.8 4区医学 Q2 SURGERY Minerva Surgery Pub Date : 2024-07-26 DOI:10.23736/S2724-5691.24.10351-6

Thanh X Nguyen, Nhu T Dang, Victoria Ton-Nu

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Abstract

Background: Chronic pancreatitis (CP) is characterized by longstanding inflammation of the pancreas. Several authors have reported minimally invasive treatment of this CP (pancreaticoduodenectomy, lateral pancreaticojejunostomy, Frey procedure) with promising short-term outcomes.

Methods: This is a case series of 6 patients diagnosed with CP and treated using the laparoscopic modified Frey procedure at Hue Central Hospital, Vietnam.

Results: Six patients (5 males and 1 female) with CP and operated on using modified Frey's procedure. The median age was 45 years old. The mean of Body Mass Index was 16.3 kg/m². The median preoperative duration of symptoms was 3.3 years. All patients were presented with a dilated main pancreatic duct (mean diameter of 7.8 mm). The median time to first bowel movement was 1.5 (1-2) days. The median postoperative hospital stay was 7 (5-11) days. No reoperation or mortality was recorded.

Conclusions: The laparoscopic modified Frey procedure is feasible and safe with good short-term and mid-term outcomes for chronic pancreatitis.

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腹腔镜改良 Frey 手术治疗慢性胰腺炎的可行性：前瞻性 6 例系列研究。

背景：慢性胰腺炎（CP）的特点是胰腺长期发炎。多位学者报道了对这种慢性胰腺炎的微创治疗（胰十二指肠切除术、侧胰空肠吻合术、Frey 手术），并取得了良好的短期疗效：这是越南顺化中心医院采用腹腔镜改良 Frey 术治疗 6 例 CP 患者的系列病例：结果：6 名 CP 患者（5 男 1 女）接受了改良 Frey 手术。中位年龄为 45 岁。平均体重指数为 16.3 kg/m2。术前症状持续时间的中位数为 3.3 年。所有患者均伴有主胰管扩张（平均直径为 7.8 毫米）。首次排便的中位时间为1.5（1-2）天。术后住院时间中位数为 7 天（5-11 天）。没有再次手术或死亡的记录：结论：腹腔镜改良 Frey 手术对慢性胰腺炎的治疗是可行且安全的，具有良好的短期和中期疗效。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Minerva Surgery SURGERY-

CiteScore

1.90

自引率

7.10%

发文量

320