A hybrid approach for chronic pancreatitis: combination of laparoscopic assisted distal pancreatectomy and open Frey procedure

摘要

Representative schema of the patient who was suitable for distal pancreatectomy and the Frey procedure for chronic pancreatitis. Dilatation of the main pancreatic duct in the pancreatic head with severe pancreatic tail lesions (arrow), especially stenosis of the main pancreatic duct in the pancreatic body or tail. In this patient, pancreatic duct stenosis frequently caused inflammation and abscess of the distal pancreas