title: Laparoscopic cystogastrotomy by ultrasonic dissection after pylorus-preserving pancreaticoduodectomy.
abstract: OBJECTIVE
  Symptomatic pancreatic pseudocysts can be drained using open, endoscopic, and laparoscopic techniques. Little is written on the role of laparoscopic drainage techniques after major abdominal operations. We describe a case of laparoscopic cystgastrotomy after pancreaticoduodenecomy.
  
  
  METHODS
  A 55-year-old female with a prior history of open pylorus-preserving pancreaticoduodenectomy presented with multiple symptomatic pancreatic pseudocysts in the setting of alcohol-induced chronic pancreatitis.
  
  
  METHODS
  After preoperative planning with contrast-enhanced computed tomography, the patient successfully underwent laparoscopic cystgastrotomy with ultrasonic dissection.
  
  
  CONCLUSIONS
  This case report illustrates that laparoscopic cystenteric drainage of pancreatic pseudocysts can be performed safely after major open abdominal operations. Further investigation is needed.
authors.affiliation: Digestive Disease Institute, Cleveland Clinic Foundation, Cleveland, Ohio, USA. chris.ibikunle@georgiasurgicare.com
authors.forename: Christopher A
authors.initials: CA
authors.lastname: Ibikunle
authors.forename: Jessica
authors.initials: J
authors.lastname: Titus
authors.forename: Jenny
authors.initials: J
authors.lastname: Pan
authors.forename: Christian X
authors.initials: CX
authors.lastname: Cruz Pico
authors.forename: Alfredo D
authors.initials: AD
authors.lastname: Guerron
mesh_terms: D004210:Dissection / Q000379:methods*; D005260:Female; D006801:Humans; D010535:Laparoscopy; D008875:Middle Aged; D010192:Pancreatic Pseudocyst / Q000601:surgery*; D016577:Pancreaticoduodenectomy / Q000379:methods; D011708:Pylorus; D014057:Tomography, X-Ray Computed; D014464:Ultrasonic Therapy / Q000379:methods*