Laparoscopic lateral pancreaticojejunostomy in the current era: A narrative review
Chronic pancreatitis is a benign disease which causes recurrent abdominal pain and loss of pancreatic function. Lateral pancreaticojejunostomy (LPJ) is a commonly performed drainage procedure for this condition. While usually performed through an open approach, there have been few cases of laparosco...
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Wolters Kluwer Medknow Publications
2025-01-01
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| Series: | Journal of Minimal Access Surgery |
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| Online Access: | https://journals.lww.com/10.4103/jmas.jmas_153_24 |
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| author | Theakarajan Rajendran Maktum Naik Hirdaya Hulas Nag |
| author_facet | Theakarajan Rajendran Maktum Naik Hirdaya Hulas Nag |
| author_sort | Theakarajan Rajendran |
| collection | DOAJ |
| description | Chronic pancreatitis is a benign disease which causes recurrent abdominal pain and loss of pancreatic function. Lateral pancreaticojejunostomy (LPJ) is a commonly performed drainage procedure for this condition. While usually performed through an open approach, there have been few cases of laparoscopic approaches for this condition. A literature review was conducted to understand the current status of laparoscopic longitudinal pancreatojejunostomy (LLPJ). We conducted a comprehensive literature search using PubMed, Embase and Cochrane Library to find the articles published until 1st October 2023. We excluded studies involving paediatric patients or robotic assisted surgeries. Our evaluation focussed on pain relief scores, morbidity, hospital stay length, mortality rates and the development of endocrine and exocrine deficiencies in the patients. The patients in the analysis had a mean age of 36.5 and a male to female ratio of 1.4:1. The mean main pancreatic duct diameter was 11.5 mm. Tropical pancreatitis was identified as the primary cause. The surgical procedure was performed using 4 ports with minimal bleeding and a 13% morbidity rate. The conversion rate was 15%. The average operative time was 260 min and the mean hospital stay was 5.7 days. The results for pain control were excellent, as 90% of patients did not report pain in most series at the end of 3 years. The laparoscopic surgical management of chronic calcific pancreatitis with LPJ offers a safe and effective solution for pain relief in carefully chosen patients. However, further comprehensive studies with large sample sizes are essential to establish a more conclusive comparison between LLPJ and open surgery. |
| format | Article |
| id | doaj-art-537d89c3d7e347b9b83bdebd9e1d6599 |
| institution | OA Journals |
| issn | 0972-9941 1998-3921 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
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| series | Journal of Minimal Access Surgery |
| spelling | doaj-art-537d89c3d7e347b9b83bdebd9e1d65992025-08-20T02:13:32ZengWolters Kluwer Medknow PublicationsJournal of Minimal Access Surgery0972-99411998-39212025-01-012111610.4103/jmas.jmas_153_24Laparoscopic lateral pancreaticojejunostomy in the current era: A narrative reviewTheakarajan RajendranMaktum NaikHirdaya Hulas NagChronic pancreatitis is a benign disease which causes recurrent abdominal pain and loss of pancreatic function. Lateral pancreaticojejunostomy (LPJ) is a commonly performed drainage procedure for this condition. While usually performed through an open approach, there have been few cases of laparoscopic approaches for this condition. A literature review was conducted to understand the current status of laparoscopic longitudinal pancreatojejunostomy (LLPJ). We conducted a comprehensive literature search using PubMed, Embase and Cochrane Library to find the articles published until 1st October 2023. We excluded studies involving paediatric patients or robotic assisted surgeries. Our evaluation focussed on pain relief scores, morbidity, hospital stay length, mortality rates and the development of endocrine and exocrine deficiencies in the patients. The patients in the analysis had a mean age of 36.5 and a male to female ratio of 1.4:1. The mean main pancreatic duct diameter was 11.5 mm. Tropical pancreatitis was identified as the primary cause. The surgical procedure was performed using 4 ports with minimal bleeding and a 13% morbidity rate. The conversion rate was 15%. The average operative time was 260 min and the mean hospital stay was 5.7 days. The results for pain control were excellent, as 90% of patients did not report pain in most series at the end of 3 years. The laparoscopic surgical management of chronic calcific pancreatitis with LPJ offers a safe and effective solution for pain relief in carefully chosen patients. However, further comprehensive studies with large sample sizes are essential to establish a more conclusive comparison between LLPJ and open surgery.https://journals.lww.com/10.4103/jmas.jmas_153_24chronic pancreatitislaparoscopic lpjlaparoscopymodified puestow procedure |
| spellingShingle | Theakarajan Rajendran Maktum Naik Hirdaya Hulas Nag Laparoscopic lateral pancreaticojejunostomy in the current era: A narrative review Journal of Minimal Access Surgery chronic pancreatitis laparoscopic lpj laparoscopy modified puestow procedure |
| title | Laparoscopic lateral pancreaticojejunostomy in the current era: A narrative review |
| title_full | Laparoscopic lateral pancreaticojejunostomy in the current era: A narrative review |
| title_fullStr | Laparoscopic lateral pancreaticojejunostomy in the current era: A narrative review |
| title_full_unstemmed | Laparoscopic lateral pancreaticojejunostomy in the current era: A narrative review |
| title_short | Laparoscopic lateral pancreaticojejunostomy in the current era: A narrative review |
| title_sort | laparoscopic lateral pancreaticojejunostomy in the current era a narrative review |
| topic | chronic pancreatitis laparoscopic lpj laparoscopy modified puestow procedure |
| url | https://journals.lww.com/10.4103/jmas.jmas_153_24 |
| work_keys_str_mv | AT theakarajanrajendran laparoscopiclateralpancreaticojejunostomyinthecurrenteraanarrativereview AT maktumnaik laparoscopiclateralpancreaticojejunostomyinthecurrenteraanarrativereview AT hirdayahulasnag laparoscopiclateralpancreaticojejunostomyinthecurrenteraanarrativereview |