title: Laparoscopic pancreaticojejunostomy for pancreatic ductal dilatation in children.
abstract: OBJECTIVE
  The application of laparoscopic surgery in pancreatic surgery in children is limited. In this article, we describe laparoscopic pancreaticojejunostomy for children with congenital pancreatic ductal dilatation.
  
  
  METHODS
  Four children with recurrent pancreatitis and pancreatic ductal dilatation underwent laparoscopic pancreaticojejunostomy between July 2009 and November 2011. Longitudinal incision of the dilated pancreatic ducts and side-to-side Roux-Y pancreaticojejunostomy were performed.
  
  
  RESULTS
  Operative time ranged from 103 to 154 min, and blood loss was minimal. The average postoperative hospital stay was 4 to 6 days. There were no pancreatic leaks. None of the patients experienced recurrence of pancreatitis.
  
  
  CONCLUSIONS
  Laparoscopic pancreaticojejunostomy for children with congenital pancreatic ductal dilatation is safe and effective.
authors.affiliation: Department of Pediatric Surgery, Capital Institute of Pediatrics, Beijing, China.
authors.forename: Jin-Shan
authors.initials: JS
authors.lastname: Zhang
authors.forename: Long
authors.initials: L
authors.lastname: Li
authors.forename: Shu-Li
authors.initials: SL
authors.lastname: Liu
authors.forename: Wen-Ying
authors.initials: WY
authors.lastname: Hou
authors.forename: Mei
authors.initials: M
authors.lastname: Diao
authors.forename: Jun
authors.initials: J
authors.lastname: Zhang
authors.forename: Sheng-Li
authors.initials: SL
authors.lastname: Li
authors.forename: An-Xiao
authors.initials: AX
authors.lastname: Ming
authors.forename: Yao
authors.initials: Y
authors.lastname: Liu
authors.forename: Hai-Bin
authors.initials: HB
authors.lastname: Wang
authors.forename: Wei
authors.initials: W
authors.lastname: Cheng
mesh_terms: D000713:Anastomosis, Roux-en-Y / Q000379:methods; D002648:Child; D002760:Cholangiopancreatography, Endoscopic Retrograde / Q000379:methods; D004108:Dilatation, Pathologic / Q000175:diagnosis / Q000601:surgery; D005500:Follow-Up Studies; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008279:Magnetic Resonance Imaging / Q000379:methods; D008297:Male; D061646:Operative Time; D010183:Pancreatic Ducts / Q000002:abnormalities* / Q000601:surgery; D010193:Pancreaticojejunostomy / Q000379:methods*; D050500:Pancreatitis, Chronic / Q000175:diagnosis / Q000209:etiology; D061214:Patient Safety; D011028:Pneumoperitoneum, Artificial / Q000379:methods; D012494:Sampling Studies; D012720:Severity of Illness Index; D013997:Time Factors; D016896:Treatment Outcome