Laparoscopic Beger procedure for the treatment of chronic pancreatitis: a single-centre first experience

Abstract Background The Beger procedure is a common surgical option in the management of the unremitting abdominal pain of chronic pancreatitis (CP). As an organ-sparing surgery, it might be a better choice than pancreatoduodenectomy (PD). However, it is rather challenging for surgeons to perform th...

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Main Authors: He Cai, Yunqiang Cai, Xin Wang, Bing Peng
Format: Article
Language:English
Published: BMC 2020-04-01
Series:BMC Surgery
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12893-020-00750-7
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author He Cai
Yunqiang Cai
Xin Wang
Bing Peng
author_facet He Cai
Yunqiang Cai
Xin Wang
Bing Peng
author_sort He Cai
collection DOAJ
description Abstract Background The Beger procedure is a common surgical option in the management of the unremitting abdominal pain of chronic pancreatitis (CP). As an organ-sparing surgery, it might be a better choice than pancreatoduodenectomy (PD). However, it is rather challenging for surgeons to perform the Beger procedure laparoscopically, especially for patients with CP; indeed, it has rarely reported. Here, we describe the technique and results of our early experience in laparoscopic Beger procedure for the treatment of CP. Case presentation Five patients (1 male) with CP (alcohol induced, n = 3; idiopathic, n = 2) who underwent laparoscopic Beger procedure from May to October 2019 in West China Hospital were included in this study. The median pancreatic duct diameter was 6.8 (4 to 12) mm. The median operating time was 275 (150 to 305) minutes without conversion. Only one patient (20%) developed a grade B pancreatic fistula. One patient required re-operation for jejunal anastomotic bleeding on the first post-operative day. The median hospital stay was 11 (9 to 34) days. No patient experienced biliary fistula, gastroparesis, duodenal necrosis, or abdominal bleeding. The 90-day mortality rate was 0%. All the patients were pain free in the two months after the operation. Conclusion The laparoscopic Beger procedure is feasible and safe with good short-term results and some potential benefits in selected patients with chronic pancreatitis. Further study and longer follow-up are required.
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spelling doaj.art-6622c3b9ae2948a5a909534c1d881bb92022-12-22T00:44:47ZengBMCBMC Surgery1471-24822020-04-012011610.1186/s12893-020-00750-7Laparoscopic Beger procedure for the treatment of chronic pancreatitis: a single-centre first experienceHe Cai0Yunqiang Cai1Xin Wang2Bing Peng3Department of Pancreatic Surgery, West China HospitalDepartment of Pancreatic Surgery, West China HospitalDepartment of Pancreatic Surgery, West China HospitalDepartment of Pancreatic Surgery, West China HospitalAbstract Background The Beger procedure is a common surgical option in the management of the unremitting abdominal pain of chronic pancreatitis (CP). As an organ-sparing surgery, it might be a better choice than pancreatoduodenectomy (PD). However, it is rather challenging for surgeons to perform the Beger procedure laparoscopically, especially for patients with CP; indeed, it has rarely reported. Here, we describe the technique and results of our early experience in laparoscopic Beger procedure for the treatment of CP. Case presentation Five patients (1 male) with CP (alcohol induced, n = 3; idiopathic, n = 2) who underwent laparoscopic Beger procedure from May to October 2019 in West China Hospital were included in this study. The median pancreatic duct diameter was 6.8 (4 to 12) mm. The median operating time was 275 (150 to 305) minutes without conversion. Only one patient (20%) developed a grade B pancreatic fistula. One patient required re-operation for jejunal anastomotic bleeding on the first post-operative day. The median hospital stay was 11 (9 to 34) days. No patient experienced biliary fistula, gastroparesis, duodenal necrosis, or abdominal bleeding. The 90-day mortality rate was 0%. All the patients were pain free in the two months after the operation. Conclusion The laparoscopic Beger procedure is feasible and safe with good short-term results and some potential benefits in selected patients with chronic pancreatitis. Further study and longer follow-up are required.http://link.springer.com/article/10.1186/s12893-020-00750-7LaparoscopicBeger procedureChronic pancreatitis
spellingShingle He Cai
Yunqiang Cai
Xin Wang
Bing Peng
Laparoscopic Beger procedure for the treatment of chronic pancreatitis: a single-centre first experience
BMC Surgery
Laparoscopic
Beger procedure
Chronic pancreatitis
title Laparoscopic Beger procedure for the treatment of chronic pancreatitis: a single-centre first experience
title_full Laparoscopic Beger procedure for the treatment of chronic pancreatitis: a single-centre first experience
title_fullStr Laparoscopic Beger procedure for the treatment of chronic pancreatitis: a single-centre first experience
title_full_unstemmed Laparoscopic Beger procedure for the treatment of chronic pancreatitis: a single-centre first experience
title_short Laparoscopic Beger procedure for the treatment of chronic pancreatitis: a single-centre first experience
title_sort laparoscopic beger procedure for the treatment of chronic pancreatitis a single centre first experience
topic Laparoscopic
Beger procedure
Chronic pancreatitis
url http://link.springer.com/article/10.1186/s12893-020-00750-7
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AT yunqiangcai laparoscopicbegerprocedureforthetreatmentofchronicpancreatitisasinglecentrefirstexperience
AT xinwang laparoscopicbegerprocedureforthetreatmentofchronicpancreatitisasinglecentrefirstexperience
AT bingpeng laparoscopicbegerprocedureforthetreatmentofchronicpancreatitisasinglecentrefirstexperience