Early experience with laparoscopic frey procedure for chronic pancreatitis: a case series and review of literature

Kilburn, Daniel J., Chiow, Adrian K. H., Leung, Universe, Siriwardhane, Mehan, Cavallucci, David J., Bryant, Richard and O'Rourke, Nicholas A. (2016) Early experience with laparoscopic frey procedure for chronic pancreatitis: a case series and review of literature. Journal of Gastrointestinal Surgery, 21 5: 1-6. doi:10.1007/s11605-016-3343-4


Author Kilburn, Daniel J.
Chiow, Adrian K. H.
Leung, Universe
Siriwardhane, Mehan
Cavallucci, David J.
Bryant, Richard
O'Rourke, Nicholas A.
Title Early experience with laparoscopic frey procedure for chronic pancreatitis: a case series and review of literature
Journal name Journal of Gastrointestinal Surgery   Check publisher's open access policy
ISSN 1091-255X
1873-4626
Publication date 2016-12-26
Year available 2017
Sub-type Article (original research)
DOI 10.1007/s11605-016-3343-4
Open Access Status Not yet assessed
Volume 21
Issue 5
Start page 1
End page 6
Total pages 6
Place of publication New York, NY, United States
Publisher Springer New York LLC
Language eng
Abstract The Frey procedure has been demonstrated to be an effective surgical technique to treat patients with painful large duct chronic pancreatitis. More commonly reported as an open procedure, we report our experience with a minimally invasive approach to the Frey procedure. Four consecutive patients underwent a laparoscopic Frey procedure at our institution from January 2012 to July 2015. We herein report our technique and describe short- and medium-term outcomes. The median age was 40 years old. The median duration of pancreatic pain prior to surgery was 12 years. Median operative time and intraoperative blood loss was 130 min (100–160 min) and 60 mL (50–100 mL), respectively. The median length of stay was 7 days (3–40 days) and median follow-up was 26 months (12–30 months). There was one major postoperative complication requiring reoperation. Within 6 months, in all four patients, frequency of pain and analgesic requirement reduced significantly. Two patients appeared to have resolution of pancreatic exocrine insufficiency. The Frey procedure is possible laparoscopically with acceptable short- and medium-term outcomes in well-selected patients.
Keyword Chronic pancreatitis
Frey procedure
Laparoscopic surgery
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
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