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Ten-Year History of Chronic Pancreatitis Presents with Pancreatic Head Mass
Published in Savio George Barreto, Shailesh V. Shrikhande, Dilemmas in Abdominal Surgery, 2020
Courtney E. Barrows, Tara S. Kent
There are several different surgical options for chronic pancreatitis, further categorized into drainage or combined drainage/resection procedures: Lateral pancreaticojejunostoy (Puestow procedure)Pancreaticoduodenectomy (Whipple procedure)Duodenum-preserving pancreatic head resection (Beger procedure)Duodenum-preserving pancreatic head resection with lateral pancreaticojejunostomy (Frey procedure)Duodenum-preserving pancreatic head resection (Berne procedure)
Toward Clinically Viable Ultrasound-Augmented Laparoscopic Visualization
Published in Terry M. Peters, Cristian A. Linte, Ziv Yaniv, Jacqueline Williams, Mixed and Augmented Reality in Medicine, 2018
The system described above has been validated using phantoms and through an animal study. Based on these preclinical data and with approval from the Institutional Review Board, clinical evaluation of the system has been performed on 13 patients: 11 (4–18 years old, 4 males, 7 females) undergoing laparoscopic cholecystectomy (one patient also referred for a laparoscopic Puestow procedure) and 2 (14 and 20 years old, both male) undergoing laparoscopic treatment of median arcuate ligament syndrome (MALS). The system calibration, performed a day in advance, preceded each clinical use. After calibration, the laparoscope, the LUS transducer, and the tracking mounts were sent for sterilization. The sterilized items were assembled in the OR at the beginning of the surgery, and four presterilized optical markers were attached on each of the two tracking mounts. The AR visualization was performed for up to 5 minutes prior to starting the actual surgery.
Alcoholic Pancreatitis
Published in Victor R. Preedy, Ronald R. Watson, Alcohol and the Gastrointestinal Tract, 2017
Surgery is often performed in an attempt to relieve pain or for complications such as pseudocysts and abscesses. Side-to-side pancreaticojejunostomy (Puestow procedure) totally or substantially relieves pain in more than 70% of patients.20 Unfortunately, only 30 to 50% of patients are suitable for this procedure.18 Although the mechanism of the pain is poorly understood, it may relate to duct obstruction leading to intraductal hypertension21 and/or elevated pancreatic tissue interstitial fluid pressure.22
LAW Trial – The Impact of Local Anesthetics Infiltration in Surgical Wound for Gastrointestinal Procedures (LAW): A Double-Blind, Randomized Controlled Trial
Published in Journal of Investigative Surgery, 2022
Guillermo Ponce de León-Ballesteros, Alejandro Ramírez-Del Val, Gustavo Romero-Vélez, Rafael H. Perez-Soto, Paulina Moctezuma, Oscar Santes, Fernando Ponce de León-Felix, Noel Salgado-Nesme
Patients included in this study were at least 18 years old and underwent elective, open clean-contaminated or contaminated gastrointestinal surgeries, including: pancreaticoduodenectomy, pancreaticojejunostomy (Puestow procedure), total and distal gastrectomy, partial hepatectomy with hepatico-jejunostomy, hepatico-jejunostomy, gastro-jejunostomy, hemicolectomy and total colectomy. Exclusion criteria were non clean-contaminated or contaminated surgeries, laparoscopic or minimally invasive procedures, patients with incomplete medical records or follow-up, allergies to local anesthetic and/or Cephalothin, weight under 50 kg, history of cardiac arrhythmias, epilepsy and malignant hyperthermia. Antibiotic prophylaxis with 1 g of Cephalothin was administered 30 min prior to incision in all patients. Preoperative hair removal of the surgical area was carried out in the operating room using a clipper. Intraoperative glycemic control (≤200 mg/dL) was achieved in all patients.
Fully covered self-expanding metal stents for benign refractory pancreatic duct strictures in chronic pancreatitis
Published in Scandinavian Journal of Gastroenterology, 2019
Taija Korpela, Marianne Udd, Outi Lindström, Leena Kylänpää
Four patients (24%) had undergone surgery 2 – 15 years before FC-SEMS placement. Patient number 5 received a pancreatic necrosectomy and pancreatic tail resection with splenectomy. Patient number 7 underwent a Puestow procedure. Patient number 15 had the resection of the adenoma of papilla Vater via laparotomy. Patient number 16 underwent pancreaticojejunostomy, gastrojejunostomy, cholecystectomy and vagotomy for duodenal obstruction and chronic pain caused by CP. However, patients suffered pain after surgery and MPD stricture was found in ERCP.