Laparoscopic pancreatic duct exploration, electrohydraulic shock wave lithotripsy combined with internal drainage for pancreatic duct stones: A case report

  • Vũ Văn Quang Bệnh viện Trung ương Quân đội 108
  • Lê Văn Thành Bệnh viện Trung ương Quân đội 108
  • Lê Trung Hiếu Bệnh viện Trung ương Quân đội 108
  • Lê Văn Lợi Bệnh viện Trung ương Quân đội 108

Main Article Content

Keywords

Chronic pancreatitis, pancreatic stones, laparoscopic.

Abstract

Till now, there has been no reports of laparoscopic pancreatic duct exploration, used electrohydraulic lithotripsy for pancreatic duct stones, and then placed pancreaticoduodenal internal drainage without creating pancreaticojejunal anastomosis in the literature. A 56-year-old female patient, with subxiphoid pain for many years, hospitalized on January 2, 2023, Computed tomography of the upper abdomen revealed an atrophic pancreas with a dilated pancreatic duct (18mm). The patient underwent laparoscopic pancreatic duct exploration, used electrohydraulic lithotripsy for pancreatic duct stones, and then placed pancreaticoduodenal internal drainage. There were no intraoperative and postoperative complications that occurred. The operative time was 185 minutes. Blood loss was around 50mL. The patient was discharged on January 5, 2023, and the ubxiphoid pain symptoms ultimately decreased in the follow-up visit after one month. Laparoscopic pancreatic duct exploration electrohydraulic shock wave lithotripsy combined with internal drainage is applicable in carefully selected patients and can be effectively and safely used the treatment of pancreatic stones with the dilated pancreatic duct.

Article Details

References

1. Singh VK, Yadav D, Garg PK (2019) Diagnosis and management of chronic pancreatitis: A Review. JAMA - J Am Med Assoc 322(24): 2422-2434. doi:10.1001/jama.2019.19411.
2. Gruessner RW, Barrera K, Sharma S, Schwartzman A (2018) Surgery for chronic pancreatitis: What is the future? Clinics in Surgery - Breast Surgery 3. http:// clinicsinsurgery.com/.
3. Frey CF, Smith GJ (1987) Description and Rationale of a New Operation for Chronic Pancreatitis. Pancreas 2(6):701-707.
4. Liu BN, Zhang TP, Zhao YP, Liao Q, Dai MH, Zhan HX (2010) Pancreatic duct stones in patients with chronic pancreatitis: surgical outcomes. Hepatobiliary Pancreat Dis Int 9: 423-427.
5. Delhaye M, Vandermeeren A, Baize M, Cremer M (1992) Extracorporeal shock-wave lithotripsy of pancreatic calculi. Gastroenterology 102: 610-620.
6. Ohara H, Hoshino M, Hayakawa T et al (1996) Single application extracor- poreal shock wave lithotripsy is the first choice for patients with pan- creatic duct stones. Am J Gastroenterol 91: 1388-1394.
7. Dumonceau JM, Delhaye M, Tringali A et al (2012) Endoscopic treatment of chronic pancreatitis: European Society of Gastrointestinal Endoscopy (ESGE) clinical guideline. Endoscopy 44: 784-800.
8. Platonov MA, Gillis AM, Kavanagh KM (2008) Pacemakers, implantable cardioverter/defibrillators, and extracorporeal shockwave lithotripsy: evidence-based guidelines for the modern era. J Endourol 22:243-247.
9. Díte P, Ruzicka M, Zboril V, Novotný I (2003) A prospective, randomized trial comparing endoscopic and surgical therapy for chronic pancre- atitis. Endoscopy 35: 553-558.
9. Cahen DL, Gouma DJ, Nio Y et al (2007) Endoscopic versus surgical drain-age of the pancreatic duct in chronic pancreatitis. N Engl J Med 356: 676-684.

Article Sidebar

PDF (Tiếng Việt)
Published
May 29, 2023
DOI: https://doi.org/10.52389/ydls.v18i3.1819
Issue
Volume 18-No 3/2023
Section
Articles
How to Cite
QuangV. V., ThànhL. V., HiếuL. T., & LợiL. V. (2023). Laparoscopic pancreatic duct exploration, electrohydraulic shock wave lithotripsy combined with internal drainage for pancreatic duct stones: A case report. Tạp Chí Y Dược lâm sàng 108, 18(3). https://doi.org/10.52389/ydls.v18i3.1819