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Updated: Feb 14, 2026

Laparoscopic Duodenum-Preserving Pancreatic Head Resection via Inferior Infracolic Approach: A Surgical Approach for Benign Lesions
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[Laparoscopic pancreatic head resection].

R E Izrailov1, V V Tsvirkun1, R B Alikhanov1

  • 1Loginov Moscow Clinical Research Center of Moscow Healthcare Department, Moscow, Russia.

Khirurgiia
|February 21, 2018
PubMed
Summary
This summary is machine-generated.

The laparoscopic Frey procedure is effective for chronic calculous pancreatitis, with high success rates and minimal complications. This minimally invasive approach offers a safe and efficient treatment option for patients.

Keywords:
laparoscopic procedurepancreatic head resection

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Area of Science:

  • Gastroenterology
  • Minimally Invasive Surgery
  • Pancreatic Surgery

Background:

  • Chronic calculous pancreatitis presents significant challenges in management.
  • The Frey procedure is a surgical option for pancreatic head pathologies.
  • Laparoscopic approaches aim to reduce surgical morbidity.

Purpose of the Study:

  • To evaluate the features and efficacy of the laparoscopic Frey procedure.
  • To assess the outcomes of laparoscopic Frey procedure in patients with chronic calculous pancreatitis (Buchler type C).

Main Methods:

  • A retrospective analysis of 31 patients undergoing laparoscopic Frey procedure between August 2012 and May 2017.
  • Patients had chronic calculous pancreatitis (Buchler type C) with specific pancreatic head and duct dimensions.
  • Surgical outcomes, complications, and follow-up data were recorded.

Main Results:

  • A completely laparoscopic approach was achieved in 90.3% of cases.
  • Mean operative time was 447.3 minutes, with a mean blood loss of 215 ml.
  • The mean postoperative hospital stay was 8.4 days, with 7 patients experiencing complications and no mortality. Recurrent pain was minimal.

Conclusions:

  • The laparoscopic Frey procedure is a feasible and effective surgical option for chronic calculous pancreatitis.
  • The minimally invasive approach demonstrates acceptable outcomes with low complication rates and no mortality.
  • Further research may explore long-term efficacy and patient-reported outcomes.