Videolaparoscopic pancreatojejunostomy using a hybrid technique in chronic pancreatitis without significant ductal dilatation.
Ian Torres de Lima, Luiz Henrique Costa, Thiago Nogueira Costa et al.
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Case in brief
A 52-year-old man with alcoholic chronic pancreatitis presented with severe abdominal pain requiring opioids. Imaging revealed a mildly dilated pancreatic duct with segmental strictures and a peripancreatic cyst. Due to suboptimal endoscopic options, a hybrid laparoscopic pancreatojejunostomy was performed. The patient recovered well, resuming oral intake by the third postoperative day and achieving complete pain relief and improved insulin control at six months.
Diagnostic / clinical pearl
In cases of chronic pancreatitis with small duct disease, hybrid laparoscopic techniques can provide effective surgical alternatives when standard procedures are inadequate.