Case Report
Copyright ©The Author(s) 2018. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Nov 6, 2018; 6(13): 679-682
Published online Nov 6, 2018. doi: 10.12998/wjcc.v6.i13.679
Laparoscopic pancreatic duct incision and stone removal and T-type tube drainage for pancreatic duct stone: A case report and review of literature
Yang Bai, Shi-An Yu, Li-Yuan Wang, Dao-Jun Gong
Yang Bai, Shi-An Yu, Li-Yuan Wang, Dao-Jun Gong, Department of Hepatobiliary Pancreatic Surgery, Jinhua Hospital of Zhejiang University, Jinhua 321000, Zhejiang Province, China
Author contributions: Bai Y and Gong DJ undertook the work on study concept and design, obtained funding and drafting of the manuscript; Wang LY undertook the work on acquisition of data; Yu SA under took the work on study concept and design and technical support.
Supported by Foundation of Department of Science and Technology of Jinhua, No. 2015-3-001; 2015-3-012.
Informed consent statement: Consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: There is no potential conflict between all of the authors.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Dao-Jun Gong, MD, Chief Doctor, Professor, Surgeon, Department of Hepatobiliary Pancreatic Surgery, Jinhua Hospital of Zhejiang University, MingYue Street No. 351, Jinhua 321000, Zhejiang Province, China. gdj7104@163.com
Telephone: +86-579-82553090 Fax: +86-579-82325006
Received: April 13, 2018
Peer-review started: April 13, 2018
First decision: June 4, 2018
Revised: July 12, 2018
Accepted: October 11, 2018
Article in press: October 12, 2018
Published online: November 6, 2018
Processing time: 207 Days and 1.1 Hours
Abstract

To study a more micro-invasive procedure for patients having pancreatic duct stones (PDS). Till now, there has been no report of laparoscopic pancreatic duct incision and stone removal and T-type tube drainage for PDS in the English literature. An 82-year-old man suffered from subxiphoid pain associated with a dilated pancreatic duct (7 mm) containing one stone, but without a mass in the head of the pancreas. Laparoscopic pancreatic duct incision, stone removal, and T-type tube drainage were successfully performed without intraoperative or postoperative complications. An uneventful operation was performed with laparoscopically completed procedures in 160 min. The intraoperative loss of blood was around 50 mL. After patient a discharge on day 11, complete relief from the subxiphoid pain was reported at a follow-up visit 15 mo later. Laparoscopic pancreatic duct incision with stone removal and T-type tube drainage is applicable in carefully selected patients and can be effectively and safely used for the treatment of the abdominal pain of chronic pancreatitis.

Keywords: Laparoscopy; Pancreatic duct stone; T-type tube drainage; Chronic pancreatitis; Surgery

Core tip: With improvements in laparoscopic surgery, patients with pancreatic duct stones (PDS) are increasingly undergoing laparoscopic treatment. However, no report is available of laparoscopic pancreatic duct incision, stone removal, and T-type tube drainage for PDS in the English literature. We applied this approach in such a case and suggest that this procedure is applicable and can be effectively and safely used for the treatment of the abdominal pain of chronic pancreatitis in strictly selected patients.