Totally Laparoscopic Puestow Procedure

Rosara Milstein, MS, Jennifer Schwartz, MD, Andrei Manilchuk, MD, David B Renton, MD. The Ohio State University.

 Since the Laparoscopic Revolution began in the early 1990s, we have continued to perform more complicated procedures using a laparoscopic approach.  For several years now, advanced pancreatic procedures have been approached laparoscopically with a great deal of success.  We are presenting a case of a patient with a history of chronic pancreatitis secondary to alcohol abuse.  Her radiographic finding show a greatly enlarged pancreatic duct, suitable for a Puestow procedure to help alleviate her chronic pain.  This video displays the technique used for a totally laparosocpic Puestow procedure.  After a thorough literature search, we believe this is the first report of a Puestow procedure performed laparoscopically without robotic assistance.  

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