Laparoscopic Total Pancreatectomy With Islet Autotransplantation and Intraoperative Islet Separation as a Treatment for Patients With Chronic Pancreatitis.

ABSTRACT:

Importance

Pain management of patients with chronic pancreatitis (CP) can be challenging. Laparoscopy has been associated with markedly reduced postoperative pain but has not been widely applied to total pancreatectomy with islet autotransplantation (TPIAT).

Objective

To examine the feasibility of using laparoscopic TPIAT (L-TPIAT) in the treatment of CP.

Design, setting, and participants

Thirty-two patients with CP presented for TPIAT at a tertiary hospital from January 1, 2013, through December 31, 2015. Of the 22 patients who underwent L-TPIAT, 2 patients converted to an open procedure because of difficult anatomy and prior surgery. Pain and glycemic outcomes were recorded at follow-up visits every 3 to 6 months postoperatively.

Main outcomes and measures

Op

SUBMITTER: Fan CJ 

PROVIDER: S-EPMC5540049 | biostudies-literature | 2017 Jun

REPOSITORIES: biostudies-literature