Ajay H Bhandarwar, MS, FMAS, FIAGES, FAIS, FICS, FBMS, Priyanka Saha, MBBS, Khushboo Kadakia, MBBS, Jai Rathore, MBBS, Amol N Wagh, MS, FMAS, FIAGES, FAIS, FICS, FBMS, Shekhar A Jadhav, MS, FMAS, Amarjeet E Tandur, MS, Soumya Chatnalkar, MBBS, Jalbaji P More, MS, Ruchira Bhattacharya, MBBS. Grant Government Medical College & Sir J.J. Group of Hospitals, Mumbai, India
Introdution: Management of pseudo cyst of pancreas ranges from conservative to endoscopic/ open / laparoscopic surgery.
Drainage procedures includes: cystogastrostomy, cystojejunostomy and cystoduodenostomy.
Laparoscopic drainage procedure can be attempted using endo-stapler or with intra corporeal suturing.
Material and Methods: In a retrospective study of 63 patients including both male and female with age 18-65 years underwent laparoscopic cystogastrostomy from may 2013 to 2017.
Of these 39 patients underwent stapler cystogastrostomy and 34 underwent handsewn anastomosis. These patients were followed up for a period of 1 year.
Patients were assessed in terms of duration of surgery ,cost , length of hospital stay , and complications.
Results: Laparoscopic cysto- gastrostomy is a safe and effective technique for management of pseudocyst of pancreas.
Stapler cystogastrostomy was found to be more costly, less time consuming with lesser rates of anastomotic leak and better haemostasis of suture line and easier to perform.
Sutured cystogastrostomy has a steep learning curve as it requies meticulous intra corporeal suturing.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 94528
Program Number: P614
Presentation Session: Poster Session (Non CME)
Presentation Type: Poster