title: Early Experience with Laparoscopic Frey Procedure for Chronic Pancreatitis: a Case Series and Review of Literature.
abstract: The Frey procedure has been demonstrated to be an effective surgical technique to treat patients with painful large duct chronic pancreatitis. More commonly reported as an open procedure, we report our experience with a minimally invasive approach to the Frey procedure. Four consecutive patients underwent a laparoscopic Frey procedure at our institution from January 2012 to July 2015. We herein report our technique and describe short- and medium-term outcomes. The median age was 40 years old. The median duration of pancreatic pain prior to surgery was 12 years. Median operative time and intraoperative blood loss was 130 min (100-160 min) and 60 mL (50-100 mL), respectively. The median length of stay was 7 days (3-40 days) and median follow-up was 26 months (12-30 months). There was one major postoperative complication requiring reoperation. Within 6 months, in all four patients, frequency of pain and analgesic requirement reduced significantly. Two patients appeared to have resolution of pancreatic exocrine insufficiency. The Frey procedure is possible laparoscopically with acceptable short- and medium-term outcomes in well-selected patients.
authors.affiliation: Hepatopancreatobiliary Unit, Department of Surgery, Royal Brisbane Hospital, Brisbane, Queensland, 4029, Australia.|School of Medicine, The University of Queensland, Brisbane, Australia.
authors.forename: Daniel J
authors.initials: DJ
authors.lastname: Kilburn
authors.affiliation: Hepatopancreatobiliary Unit, Department of Surgery, Changi General Hospital, Singapore, Singapore.
authors.forename: Adrian K H
authors.initials: AKH
authors.lastname: Chiow
authors.affiliation: Hepatopancreatobiliary Unit, Department of Surgery, Royal Brisbane Hospital, Brisbane, Queensland, 4029, Australia.
authors.forename: Universe
authors.initials: U
authors.lastname: Leung
authors.affiliation: Hepatopancreatobiliary Unit, Department of Surgery, Royal Brisbane Hospital, Brisbane, Queensland, 4029, Australia.
authors.forename: Mehan
authors.initials: M
authors.lastname: Siriwardhane
authors.affiliation: Hepatopancreatobiliary Unit, Department of Surgery, Royal Brisbane Hospital, Brisbane, Queensland, 4029, Australia.|School of Medicine, The University of Queensland, Brisbane, Australia.
authors.forename: David J
authors.initials: DJ
authors.lastname: Cavallucci
authors.affiliation: Hepatopancreatobiliary Unit, Department of Surgery, Royal Brisbane Hospital, Brisbane, Queensland, 4029, Australia.
authors.forename: Richard
authors.initials: R
authors.lastname: Bryant
authors.affiliation: Hepatopancreatobiliary Unit, Department of Surgery, Royal Brisbane Hospital, Brisbane, Queensland, 4029, Australia. orourke.nick@gmail.com.|School of Medicine, The University of Queensland, Brisbane, Australia. orourke.nick@gmail.com.|, Wesley Medical Centre Suite 47, 40 Chasely Street, Auchenflower, Brisbane, Queensland, 4066, Australia. orourke.nick@gmail.com.
authors.forename: Nicholas A
authors.initials: NA
authors.lastname: O'Rourke
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D010180:Pancreatectomy / Q000379:methods*; D010193:Pancreaticojejunostomy / Q000379:methods*; D050500:Pancreatitis, Chronic / Q000601:surgery*; D016896:Treatment Outcome
keywords: Chronic pancreatitis; Frey procedure; Laparoscopic surgery