Abstract:Objective To investigate the application value of laparoscopic pancreatic duct lithotomy and pancreatic duct T drainage in treatment of chronic pancreatitis complicated with pancreatic duct stones.Methods Clinical data of patients underwent laparoscopic pancreatic duct lithotomy and pancreatic duct T drainage for pancreatic duct stones from January 2017 to June 2020 were retrospectively analyzed.Results All the 5 cases were successfully operated. Among of them, one case of Ⅳb type pancreatic duct stone was treated with EMS lithotripsy system. The operative time was 120 ~ 180 min, with an average of 145 min; The intraoperative bleeding was 15 ~ 50 mL, with an average of 29 mL; The postoperative gastrointestinal function recovery time was 1.0 ~ 2.0 d, with an average of 1.6 d; The postoperative hospital stay was 4.0 ~ 11.0 d, with an average of 7.0 d; The T tube removal time was 32.0 ~ 60.0 d, with an average of 42.4 d. No postoperative complications such as pancreatic leakage, bleeding and abdominal infection occurred. The follow-up time was 27.0 ~ 55.0 months, with an average of 40.8 months. The insulin dosage of 1 diabetic patient was reduced compared with that before surgery. One patient showed residual pancreatic duct stones by T tube angiography, and the residual stones were removed by choledochoscopy. There was no recurrence of calculi and no malignant change.Conclusion Laparoscopic pancreatic duct lithotomy and pancreatic duct T drainage is a safe and effective operation with little trauma, quick recovery, satisfactory curative effect and simple operation.
