title: Lap-Protector and Circular Stapler Are Useful in Cystogastrostomy for Large Pancreatic Pseudocyst with Severe Infection.
abstract: Lap-Protector, which is an abdominal wall sealing device, is usually used for wound protection from implantation of malignant cells or pyogenic fluid. A circular stapler is a common easy-to-use device for anastomosis of the digestive tract. We report the case of an infected pancreatic pseudocyst which was treated by surgical procedure using these useful devices. A 69-year-old man was followed up in our hospital after severe acute pancreatitis. He had undergone drainage surgeries twice for intractable pancreatic abscess followed by severe acute pancreatitis. He was admitted to our hospital complaining of loss of appetite, hiccups, and high fever. Computed tomography of the abdomen revealed an infected pancreatic pseudocyst which compressed the gastric wall. Internal drainage into the stomach was performed using Lap-Protector and circular stapler. The patient recovered uneventfully. Recently many endoscopic or laparoscopic procedures in cystogastrostomy are reported; however, a conventional open surgical approach is also important. This easy method may be useful for operative cystogastrostomy.
authors.affiliation: Department of Surgery, Kobe Red Cross Hospital, Kobe, Japan.
authors.forename: Yoshihiko
authors.initials: Y
authors.lastname: Kadowaki
authors.forename: Takefumi
authors.initials: T
authors.lastname: Kurokawa
authors.forename: Ryuji
authors.initials: R
authors.lastname: Tamura
authors.forename: Takahiro
authors.initials: T
authors.lastname: Okamoto
authors.forename: Nobuhiro
authors.initials: N
authors.lastname: Ishido
authors.forename: Takashi
authors.initials: T
authors.lastname: Mori
references.citation: Hepatogastroenterology. 1999 Nov-Dec;46(30):3271-3
references.pmid: 10626199
references.citation: Surg Today. 2001;31(9):850-2
references.pmid: 11686573