Single center experience in selecting the laparoscopic Frey procedure for chronic pancreatitis

Figure 1 Placement of the 5 ports. T1: 12 mm telescope trocar in the navel; T2: 12 mm trocar along the left midclavear lines; T3: 12-mm trocar along the right midclavear lines; T4: 5 mm trocar along the left anterior axillary line; T5: 5 mm trocar along the right anterior axillary line.

Figure 2 Skeletonized gastrocolic trunk and its branches. a: Anterior superior pancreaticoduodenal vein; b: Right colic vein.

Figure 3 Resection of the branches of the gastrocolic trunk to expose the whole pancreatic head.

Figure 4 The pancreatic duct was opened longitudinally using the electrosurgical hook.

Figure 5 Large ductal stones are extracted while opening the duct distally and proximally.

Figure 6 The parenchyma of the pancreatic head is excavated using a harmonic scalpel.

Figure 7 One layer side-to-side pancreaticojejunostomy completed with interrupted sutures.