Laparoscopic treatment of pancreatic pseudocysts in children.

Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a
Suzanne M YoderTimothy D Kane

Abstract

Pancreatic pseudocysts are problematic sequelae of pancreatitis or pancreatic trauma causing persistent abdominal pain, nausea, and gastric outlet obstruction. Due to the low volume of disease in children, there is scant information in the literature on the operative management of pseudocysts with minimally invasive techniques. We conducted a multi-institutional review to illustrate several technical variations utilized in achieving laparoscopic cystgastrostomy in the pediatric population. A retrospective review was conducted of all patients who underwent laparoscopic cystgastrostomy in five institutions. Patient data, operative techniques, and postoperative course were analyzed. There were 13 patients with a mean age of 10.4 years and mean weight of 52.1 kg. The etiologies of pancreatitis included: trauma (4), gallstones (3), chemotherapy (2), hereditary (1), and idiopathic (3). Preoperative radiographic measurements of the maximal cyst diameter averaged 11.7 cm. Cystgastrostomy was approached by using transgastric exposure in 5 cases and intragastric ports in 8 cases. An average of four ports were used to complete these operations. Mean operative time was 113 minutes. There were no conversions in this series. Cystgastrostomy ...Continue Reading

References

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Citations

Jul 18, 2012·Seminars in Pediatric Surgery·Alexander Dzakovic, Riccardo Superina
Mar 8, 2012·Diseases of the Esophagus : Official Journal of the International Society for Diseases of the Esophagus·K P DavenportT D Kane
May 17, 2013·World Journal of Gastrointestinal Endoscopy·Paola De AngelisLuigi Dall'oglio
Jun 17, 2010·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Sidney Johnson, Justin James Clark
Jul 7, 2017·Current Opinion in Pediatrics·Maisam Abu-El-HaijaJaimie D Nathan
Apr 3, 2012·Journal of Pediatric Gastroenterology and Nutrition·Erica MakinMark Davenport
Jul 13, 2012·Journal of Pediatric Gastroenterology and Nutrition·Jayapal RameshShyam Varadarajulu
Oct 7, 2021·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Carlos García-HernándezGerardo Izundegui-Ordoñez

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