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Updated: May 31, 2026
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Robotic-assisted Lateral Pancreaticojejunostomy for Chronic Pancreatitis
Published on: September 5, 2025
Robotic lateral pancreaticojejunostomy (Puestow)
1Seattle Children's Hospital, Seattle, WA 98105, USA. john.meehan@seattlechildrens.org
Journal of Pediatric Surgery
|June 21, 2011
Summary
This study reports the first robotic lateral pancreaticojejunostomy (LPJ) in a child for chronic pancreatitis. Robotic surgery offers a new minimally invasive option for this complex procedure.
Area of Science:
- Surgical Technology
- Gastroenterology
- Pediatric Surgery
Background:
- Lateral pancreaticojejunostomy (LPJ), or Puestow procedure, treats chronic pancreatitis with ductal obstruction.
- Open surgery is traditional, while laparoscopic LPJ is challenging due to instrument limitations.
- Limited literature exists on minimally invasive LPJ, especially in pediatric cases.
Observation:
- A 14-year-old child with idiopathic chronic pancreatitis underwent a robotic-assisted LPJ.
- This marks the first reported robotic LPJ in a pediatric patient.
- The procedure utilized advanced robotic surgical technology.
Findings:
- Robotic surgery facilitated the complex LPJ procedure in a pediatric patient.
- The case demonstrates the feasibility and potential of robotic assistance for LPJ.
- Successful execution of a challenging minimally invasive pancreatic surgery.
Implications:
- Robotic LPJ may overcome limitations of traditional laparoscopic approaches.
- This technology could offer a new minimally invasive surgical option for chronic pancreatitis in children and adults.
- Advances in robotic surgery expand minimally invasive treatment possibilities for pancreatic diseases.
