title: Laparoscopic cystgastrostomy: A Pakistani perspective.
abstract: Laparoscopic Pancreatic Pseudocyst (PP) surgery can be performed via anterior or posterior cystogastrostomy, endoscopy-assisted surgery and cystojejunostomy. We conducted a prospective analysis of our patients undergoing laparoscopic cystogastrostomy to analyse the merits and demerits of the procedure. In a period of 3 years from January 2010 to December 2012 all the patients who underwent laparoscopic drainage of pancreatic pseudocysts were prospectively analysed. A total of 12 patients underwent a transgastric anterior cystogastrostomy with a stoma size of 4.5cms. There was no intraoperative or postoperative bleeding or leakage on anastomotic lines. Post-op pain score on the first post-op day was 4 (2-5) on the Visual Analogue Scale (VAS). Average hospital stay was 4.1±2.3 days. All patients had complete resolution of symptoms on follow-up. Follow-up computed tomography (CT) scans on 8 patients showed complete resolution of the cysts. Laparoscopic cystogastrostomy is a safe and feasible method and provides efficient drainage of PP.
authors.affiliation: Services Institute of Medical Sciences, Lahore.
authors.forename: Awais Amjad
authors.initials: AA
authors.lastname: Malik
authors.affiliation: Services Institute of Medical Sciences, Lahore.
authors.forename: Hafiz Ghulam
authors.initials: HG
authors.lastname: Isnain
authors.affiliation: National Hospital & Medical Centre, Lahore.
authors.forename: Ahsan
authors.initials: A
authors.lastname: Khan
authors.affiliation: National Hospital & Medical Centre, Lahore.
authors.forename: Asad Ali
authors.initials: AA
authors.lastname: Toor
authors.affiliation: Services Institute of Medical Sciences, Lahore.
authors.forename: Allah
authors.initials: A
authors.lastname: Nawaz
authors.affiliation: Services Institute of Medical Sciences, Lahore.
authors.forename: Rashid
authors.initials: R
authors.lastname: Mansoor
authors.affiliation: Services Institute of Medical Sciences, Lahore.
authors.forename: Romaisa
authors.initials: R
authors.lastname: Shamim
authors.affiliation: Services Institute of Medical Sciences, Lahore.
authors.forename: Mahmood
authors.initials: M
authors.lastname: Ayyaz
mesh_terms: D000328:Adult; D000368:Aged; D015331:Cohort Studies; D004322:Drainage / Q000379:methods; D005260:Female; D005773:Gastroscopy / Q000379:methods; D005774:Gastrostomy / Q000379:methods*; D006801:Humans; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D010154:Pakistan; D010192:Pancreatic Pseudocyst / Q000601:surgery*; D011446:Prospective Studies
keywords: Laparoscopic Pancreatic Pseudocyst, Cystogastrostomy.