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New surgical technique for pancreatic lithotripsy without coring-out

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Abstract

The Frey procedure, which involves longitudinal pancreaticojejunostomy with coring-out of the pancreatic head, is considered the ideal surgical procedure for chronic pancreatitis with pancreas head stone. Long-term relief from abdominal pain after the Frey procedure was reported to reach about 90%, and this is the most common surgical procedure for chronic pancreatitis in Japan. However, coring-out has the potential risk of severe complications such as bile duct injury, pancreatic fistula, and postoperative hemorrhage. Therefore, we introduce a new lithotripsy technique using laparoscopic coagulation shear without coring-out.

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Authors and Affiliations

  1. Department of Surgery, Graduate School of Biomedical and Health Science, Hiroshima University, 1‐2‐3 Kasumi, Minami‐ku, Hiroshima, 734‐8551, Japan

    Tatsuaki Sumiyoshi, Kenichiro Uemura, Naru Kondo, Kenjiro Okada, Shingo Seo, Hiroyuki Otsuka & Shinya Takahashi

  2. Department of Gastroenterology and Metabolism, Graduate School of Biomedical and Health Science, Hiroshima University, Hiroshima, Japan

    Masahiro Serikawa & Yasutaka Ishi

Authors
  1. Tatsuaki Sumiyoshi
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  2. Kenichiro Uemura
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  3. Naru Kondo
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  4. Kenjiro Okada
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  5. Shingo Seo
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  6. Hiroyuki Otsuka
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  7. Masahiro Serikawa
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  8. Yasutaka Ishi
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  9. Shinya Takahashi
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Corresponding author

Correspondence to Tatsuaki Sumiyoshi.

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The authors declare that they have no conflicts of interest.

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All procedures performed in this study involving human participants were in accordance with the ethics committee of Hiroshima University and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

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Informed consent was obtained from the patient included in the study.

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Sumiyoshi, T., Uemura, K., Kondo, N. et al. New surgical technique for pancreatic lithotripsy without coring-out. Clin J Gastroenterol 13, 1343–1346 (2020). https://doi.org/10.1007/s12328-020-01217-1

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  • DOI: https://doi.org/10.1007/s12328-020-01217-1

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