Endoscopic and laparoscopic treatment of chronic pancreatitis

Abstract

Introduction: The role of contemporary endoscopic and laparoscopic surgeries used in the treatment of patients with chronic pancreatitis (C.P.) is currently very ambiguously exposed in the literature. Purpose: Assessment of endoscopic and laparoscopic surgical techniques applied to patients with C.P. Material and methods: The study presents the results of the surgical treatment applied to 40 patients with C.P, carried out during the years 2000-2019 in the Surgery Clinic no.2. The performed surgical techniques were: laparoscopic external drainage of the pancreatic pseudocyst (PPD), external drainage of PP under Ultrasonography control, endoscopic papillosphincterotomy (EPST),EPST with litextraction from the Wirsung duct (WD), endoscopic stenting of the WD, enucleation of the pancreatic cyst, laparoscopic corporeo-caudal pancreatectomy. Results: The selection operations applied were the following : laparoscopic external drainage of PP 12 (30.0%) cases ; external drainage of PP under Ultrasonography control 10 (25.0%) cases ; EPST-8 (20.0%) cases ; EPST with litextraction from WD 4 (10%) cases ; endoscopic stenting of DW-2 (5.0%) cases ; enucleation of the pancreatic cyst 2 (5.0%) cases ; laparoscopic corporeo-caudal pancreatectomy 2 (5.0%) cases. Conclusions: Endoscopic and laparoscopic techniques represent a new level of modern treatment in CP with a low yield of intrapostoperative complications.