Abstract
A 58-year-old veteran was diagnosed with a gallstoneinduced chronic pancreatitis and malnutrition due to intractable abdominal pain. The patient had previously undergone laparoscopic cholecystectomy. Preoperative ERCP revealed an obstructing pancreatic duct stone in the head of the pancreas with associated upstream duct dilatation. The patient had failed multiple attempts to access and stent the pancreatic duct, including unsuccessful cannulation of the minor papilla. Pancreatic protocol CT scan demonstrated a well-developed pseudocyst in communication with the dilated pancreatic duct. The video explains in details the operative steps. He was discharged home on POD #4. There were no complications during his hospitalization and at 6 months follow-up.
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