Open AccessLaparoscopic cystogastrostomy for the treatment of pancreatic pseudocysts: A case report
Author(s) -
Qinsong Sheng,
Da-Zhi Chen,
Ren Lang,
Zhong-kui Jin,
Dongdong Han,
Lixin Li,
Yongpeng Yang,
Ping Li,
Pan Fang,
Dong Zhang,
Zhipeng Qu,
Qiang He
Publication year - 2008
Publication title -
world journal of gastroenterology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.427
H-Index - 155
eISSN - 2219-2840
pISSN - 1007-9327
DOI - 10.3748/wjg.14.4841
Subject(s) - pancreatic pseudocyst , medicine , percutaneous , laparoscopy , surgery , endoscopy , radiology , pancreatitis
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.