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Published on: September 5, 2025
Laparoscopic pancreaticojejunostomy for pancreatic ductal dilatation in children
Jin-Shan Zhang1, Long Li, Shu-Li Liu
1Department of Pediatric Surgery, Capital Institute of Pediatrics, Beijing, China.
Insights
Laparoscopic pancreaticojejunostomy is a safe and effective procedure for children with congenital pancreatic ductal dilatation. This minimally invasive approach offers a successful treatment for recurrent pancreatitis in pediatric patients.
Area of Science:
- Pediatric surgery
- Minimally invasive surgery
- Gastrointestinal surgery
Background:
- Laparoscopic surgery is not widely applied in pediatric pancreatic procedures.
- Congenital pancreatic ductal dilatation can lead to recurrent pancreatitis in children.
Purpose of the Study:
- To describe the technique and outcomes of laparoscopic pancreaticojejunostomy in pediatric patients.
- To evaluate the safety and efficacy of this minimally invasive approach for congenital pancreatic ductal dilatation.
Main Methods:
- Four children with recurrent pancreatitis and pancreatic ductal dilatation underwent the procedure.
- The surgery involved a longitudinal incision of dilated pancreatic ducts and a side-to-side Roux-Y pancreaticojejunostomy.
Main Results:
- The operative time ranged from 103 to 154 minutes with minimal blood loss.
- Patients had a short postoperative hospital stay of 4 to 6 days.
- No pancreatic leaks or recurrence of pancreatitis were observed in the patients.
Conclusions:
- Laparoscopic pancreaticojejunostomy is a safe and effective surgical option for children.
- This technique provides a successful treatment for congenital pancreatic ductal dilatation and associated pancreatitis.
Purpose:
The application of laparoscopic surgery in pancreatic surgery in children is limited. In this article, we describe laparoscopic pancreaticojejunostomy for children with congenital pancreatic ductal dilatation.
Methods:
Four children with recurrent pancreatitis and pancreatic ductal dilatation underwent laparoscopic pancreaticojejunostomy between July 2009 and November 2011. Longitudinal incision of the dilated pancreatic ducts and side-to-side Roux-Y pancreaticojejunostomy were performed.
Results:
Operative time ranged from 103 to 154 min, and blood loss was minimal. The average postoperative hospital stay was 4 to 6 days. There were no pancreatic leaks. None of the patients experienced recurrence of pancreatitis.
Conclusions:
Laparoscopic pancreaticojejunostomy for children with congenital pancreatic ductal dilatation is safe and effective.
