Laparoscopic cystogastrostomy for the treatment of pancreatic pseudocysts: a case report.

World Journal of Gastroenterology : WJG
Qin-Song ShengQiang He

Abstract

Pancreatic pseudocysts (PPs) are collections of pancreatic secretions that are lined by fibrous tissues and may contain necrotic debris or blood. The interventions including percutaneous, endoscopic or surgical approaches are based on the size, location, symptoms and complications of a pseudocyst. With the availability of advanced imaging systems and cameras, better hemostatic equipments and excellent laparoscopic techniques, most pseudocysts can be found and managed by laparoscopy. We describe a case of a 30-year-old male patient with a pancreatic pseudocyst amenable to laparoscopic cystogastrostomy. An incision was made through the anterior gastric wall to expose the posterior gastric wall in close contact with the pseudocyst using an ultrasonically activated scalpel. Then, another incision was made for cystogastrostomy to obtain complete and unobstructed drainage. The patient recovered well after operation and was symptom-free during a 6-mo follow-up, suggesting that laparoscopic cystogastrostomy is a safe and effective alternative to open cystogastrostomy for minimally invasive management of PPs.

References

Dec 1, 2001·Pediatric Surgery International·V BreckonG P Hadley
Jan 5, 2002·Gastrointestinal Endoscopy·Oleh HaluszkaKaroly Horvath
Nov 18, 2005·Journal of Pediatric Surgery·Daniel F SaadMark L Wulkan
Dec 21, 2005·Journal of Hepato-biliary-pancreatic Surgery·Toshiyuki MoriYutaka Atomi
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May 23, 2007·Surgical Endoscopy·Chinnusamy PalaniveluGobi Shanmugam Maheshkumaar

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Citations

Oct 24, 2017·Journal of Huazhong University of Science and Technology. Medical Sciences = Hua Zhong Ke Ji Da Xue Xue Bao. Yi Xue Ying De Wen Ban = Huazhong Keji Daxue Xuebao. Yixue Yingdewen Ban·Tian-Ming WuHua Fan

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