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Updated: May 28, 2026
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Robotic Lateral Pancreaticojejunostomy for Chronic Pancreatitis
Published on: December 14, 2019
Laparoendoscopic single-site lateral pancreaticojejunostomy
C Palanivelu1, Jasmeet Singh Ahluwalia, R Parthasarathi
1Gastrointestinal and Laparoscopic Surgery, GEM Hospital, Coimbatore, India. gemhospital@gmail.com
Summary
This study introduces the first laparoendoscopic single-site lateral pancreaticojejunostomy (LPJ) for chronic calcific pancreatitis. The minimally invasive technique is safe and feasible, offering cosmetic benefits.
Area of Science:
- Minimally invasive surgery
- Gastrointestinal surgery
- Surgical innovation
Background:
- Chronic pancreatitis management often involves medication, but surgery is necessary for specific cases.
- The Partington procedure, or its laparoscopic equivalent, is indicated for dilated pancreatic ducts without pancreatic head mass.
- Laparoendoscopic single-site surgery (LESS) is an emerging technique for complex procedures.
Observation:
- A 32-year-old female with chronic calcific pancreatitis underwent the procedure.
- A single umbilical incision and additional small ports were used for access.
- The surgery was completed in 220 minutes with no intraoperative or postoperative complications.
Findings:
- This is the first reported case of laparoendoscopic single-site lateral pancreaticojejunostomy (LPJ) for chronic calcific pancreatitis.
- The procedure was technically feasible and successfully performed.
- The patient experienced no complications and was discharged on postoperative day 5.
Implications:
- Single-incision laparoscopic LPJ is a viable and safe option for selected patients with chronic pancreatitis.
- This technique offers potential cosmetic advantages over traditional laparoscopic approaches.
- Further research is needed to evaluate long-term benefits like reduced pain, shorter hospital stays, and cost-effectiveness.
