Laparoscopic operation according to Beger

Laparoscopic Beger procedure for patient with chronic pancreatitis

Laparoscopic Beger procedure for patient with chronic pancreatitis
Izrailov R.E. and Andrianov A.V. is performing an operation (2018).

Moscow Clinical Scientific Centre, Moscow, Russia

Laparoscopic Beger procedure was performed in patient (male) with chronic pancreatitis type C (classification of M.Buchler). The age of the patient was 54 years. The size of the pancreatic head was 34 mm, the diameter of the main pancreatic duct was 9 mm. And patient had regional portal hypertension as a result of the pancreatic head compression of the portal vein. Superior mesenteric vein under the low margin of the pancreas head was visualized. Stay sutures were placed for the traction. The anterior gastroduodenal artery was identified and ligated close to the common hepatic artery. The pancreas was transected on the level of the neck. The subtotal resection of the pancreas was performed. The resection finished when the distance of the cut-line from the pancreas to the duodenal wall was ventral 5 mm and dorsal 2–3 cm. The main pancreatic duct was opened longitudinally in the distal part of the pancreas. A side-to-end pancreaticojejunostomy and a side-to-side pancreaticojejunostomy were formed with single-layer continuous sutures using nonabsorbable materials (Ti-cron 2.0). Hepaticojejunostomy was formed in one case.

The operating time was 680 minutes. Blood loss was 250 ml. There was no conversion and complications in post-operative period. The length of postoperative days was 5 days.