title: Laparoscopic management of pancreatic pseudocysts: experience at a general hospital in Mexico City.
abstract: BACKGROUND
  Invasive management of pancreatic pseudocysts (PP) is currently indicated in those patients with symptoms or complications. Treatment options are classified as surgical (open and laparoscopic) and non-surgical (endoscopic and radiologic).
  
  
  OBJECTIVE
  To describe the morbidity, mortality, and efficacy in terms of technical and clinical success of the laparoscopic surgical approach in the treatment of patients with PP in the last 3 years at our hospital center.
  
  
  METHODS
  We included patients with PP treated with laparoscopic surgery within the time frame of January 2012 and December 2014. The morbidity and mortality associated with the procedure were determined, together with the postoperative results in terms of effectiveness and recurrence.
  
  
  RESULTS
  A total of 38 patients were diagnosed with PP within the last 3 years, but only 20 of them had invasive treatment. Laparoscopic surgery was performed on 17 of those patients (mean pseudocyst diameter of 15.3, primary drainage success rate of 94.1%, complication rate of 5.9%, and a 40-month follow-up).
  
  
  CONCLUSIONS
  The results obtained with the laparoscopic technique used at our hospital center showed that this approach is feasible, efficacious, and safe. Thus, performed by skilled surgeons, it should be considered a treatment option for patients with PP.
authors.affiliation: Clínica de Cirugía Hepatobiliar y Pancreática del Departamento de Cirugía General, Cirugía Endoscópica y Endoscopia Gastrointestinal, Hospital General Dr. Manuel Gea González, Secretaría de Salud, México, D.F., México. Electronic address: braulioaaroncc@hotmail.com.
authors.forename: B A
authors.initials: BA
authors.lastname: Crisanto-Campos
authors.affiliation: Departamento de Cirugía Endoscópica, Hospital General Dr. Manuel Gea González, Secretaría de Salud, México, D.F., México.
authors.forename: E
authors.initials: E
authors.lastname: Arce-Liévano
authors.affiliation: Clínica de Cirugía Hepatobiliar y Pancreática del Departamento de Cirugía General, Hospital General Dr. Manuel Gea González, Secretaría de Salud, México, D.F., México.
authors.forename: L E
authors.initials: LE
authors.lastname: Cárdenas-Lailson
authors.affiliation: Departamento de Cirugía General, Hospital General Dr. Manuel Gea González, Secretaría de Salud, México, D.F., México.
authors.forename: L S
authors.initials: LS
authors.lastname: Romero-Loera
authors.affiliation: Departamento de Cirugía Endoscópica y Endoscopia Gastrointestinal, Hospital General Dr. Manuel Gea González, Secretaría de Salud, México, D.F., México.
authors.forename: M E
authors.initials: ME
authors.lastname: Rojano-Rodríguez
authors.affiliation: Departamento de Endoscopia Gastrointestinal, Hospital General Dr. Manuel Gea González, Secretaría de Salud, México, D.F., México.
authors.forename: M A
authors.initials: MA
authors.lastname: Gallardo-Ramírez
authors.affiliation: Departamento de Cirugía Bariátrica, Hospital General Dr. Manuel Gea González, Secretaría de Salud, México, D.F., México.
authors.forename: J
authors.initials: J
authors.lastname: Cabral-Oliver
authors.affiliation: Departamento de Cirugía Endoscópica y Endoscopia Gastrointestinal, Hospital General Dr. Manuel Gea González, Secretaría de Salud, México, D.F., México.
authors.forename: M
authors.initials: M
authors.lastname: Moreno-Portillo
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D003430:Cross-Sectional Studies; D013505:Digestive System Surgical Procedures / Q000379:methods*; D005260:Female; D006769:Hospitals, General; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D008800:Mexico / Q000453:epidemiology; D008875:Middle Aged; D010192:Pancreatic Pseudocyst / Q000453:epidemiology / Q000401:mortality / Q000601:surgery*; D012189:Retrospective Studies; D016896:Treatment Outcome; D055815:Young Adult
keywords: Acute peripancreatic fluid collections; Colecciones peripancreáticas agudas; Drenaje laparoscópico; Laparoscopic drainage; Necrosis pancreática encapsulada; Pancreatic pseudocyst; Seudoquiste pancreático; Walled off pancreatic necrosis