Dilip Parekh, MD, Kaylene Berrera, MD, Rick Selby, MD. Department of Surgery, University of Southern California
Chronic pancreatitis is often associated with severe chronic pain. The Frey procedure is an established procedure for pain in chronic pancreatitis. A laparoscopic technique for this procedure has not been described previously. In this video we describe a redo Frey procedure with a peustow-type pancreaticojejunostomy. The patient is a 46y old female with familial pancreatitis who previously underwent a peustow procedure to the body and tail of the pancreas. The patient had persistent pain after surgery. A laparoscopic-assisted Frey- type pancreatic is described with a Peustow-type pancreaticojejunostomy in this video. The reconstruction: a Roux-enY pancreaticojejunostomy was perfomed with a Da Vinci robot system. The patient remains asymptomatic 2y after surgery with minimal pain and a marked improvement in her performance status. Laparoscopic Frey procedure may provide a new treatment option in patients with intractable pain from chronic pancreatitis.
Program Number: P404