title: Laparoscopic cystogastrostomy for pancreatic pseudocyst is safe and effective.
abstract: Between March 1997 and March 1998, three consecutive patients underwent laparoscopic cystogastrostomy for persistent giant retrogastric pancreatic pseudocyst complicating an attack of acute pancreatitis. The mean cyst diameter was 15 +/- 1 cm (range 14-16). The procedure was performed with four trocars. The anterior wall of the stomach was opened longitudinally. The pseudocyst was entered through the posterior wall of the stomach. A cystogastrostomy was created by suturing the margins of the communication by interrupted nonabsorbable sutures. The mean operative time was 123 +/- 15 min, and there were no postoperative complications. The mean postoperative hospital stay was 4 +/- 1 days. Computed tomography demonstrated complete resolution of the pseudocyst. Laparoscopic cystogastrostomy represents a good therapeutic option for persistent retrogastric pancreatic pseudocyst.
authors.affiliation: Department of General Surgery, Hôpital Antoine Béclère Clamart, University of Paris XI, France.
authors.forename: C
authors.initials: C
authors.lastname: Smadja
authors.forename: A
authors.initials: A
authors.lastname: Badawy
authors.forename: C
authors.initials: C
authors.lastname: Vons
authors.forename: V
authors.initials: V
authors.lastname: Giraud
authors.forename: D
authors.initials: D
authors.lastname: Franco
mesh_terms: D000208:Acute Disease; D000328:Adult; D000368:Aged; D000714:Anastomosis, Surgical; D004322:Drainage / Q000379:methods*; D005260:Female; D005774:Gastrostomy; D006801:Humans; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D010192:Pancreatic Pseudocyst / Q000150:complications / Q000601:surgery*; D010195:Pancreatitis / Q000150:complications