Laparoscopic cystogastrostomy for the treatment of pancreatic pseudocysts: a case report.
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.
Sheng
Qin-Song
QS
Department of Hepatobiliary and Pancreatospleenic Surgery, Beijing Chaoyang Hospital Affiliated to Capital Medical University, Beijing 100020, China.
Chen
Da-Zhi
DZ
Lang
Ren
R
Jin
Zhong-Kui
ZK
Han
Dong-Dong
DD
Li
Li-Xin
LX
Yang
Yong-Jiu
YJ
Li
Ping
P
Pan
Fei
F
Zhang
Dong
D
Qu
Zhao-Wei
ZW
He
Qiang
Q
D000208:Acute Disease; D000328:Adult; D004322:Drainage; D005774:Gastrostomy; D006801:Humans; D010535:Laparoscopy; D008297:Male; D010192:Pancreatic Pseudocyst / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D010195:Pancreatitis / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome