Jitendra T Sankpal, MBBS, MS1, Khushboo N Kadakia, MBBS1, Sweety S Agarwal, MBBS, DNBE1, Sushrut Sankpal, MBBS2, Mukund Tayade, MBBS, MS, FMAS, FIAGES1, Priyanka Saha, MBBS1, Ameya Gadkari, MBBS1, Manjiri Sankpal, MBBS, MS3, Pradip Kasabe, MBBS, MS4, Saad Shaikh, MBBS1. 1Grant Government Medical College And Sir JJ Government Hospitals Mumbai India, 2Rajiv Gandhi Medical College Thane Maharashtra India, 3New Millenium Hospital Sanpada Navi Mumbai India, 4Dr Vaishampayan Memorial Government Medical College Solapur Maharashtra India
INTRODUCTION: ACUTE PANCREATITIS DUE TRAUMA IS COMMONEST CAUSE OF PSEUDOCYST IN PEDIATRIC AGE. DUE TO LIMITED LITERATURE AVAILABLE AND UNDER DIAGNOSIS BY PEDIATRICIANS, THE TRUE INCIDENCE OF PSEUDOCYST IN 4 TO 12 AGE GROUP IS NOT KNOWN.
MATERIAL AND METHODS: RETROSPECTIVE ANALYSIS OF 10 PEDIATRIC AGE ( 4 – 12 YEARS ) PATIENTS WHO UNDERWENT LAPAROSCOPIC CYSTOGASTROSTOMY AT DISTRIC TEACHING HOSPITAL WAS DONE. PATIENTS DATA, PRESENTATION, INVESTIGATIONS, OPETATION DONE AND POST OPERATIVE COURSE WAS STUDIED.
RESULT: TOTAL OF 10 PATIENTS( 8 Males & 2 Females) HAD MEAN AGE OF 6.5 YEARS, MEAN WEIGHT OF 25 KGS. ETIOlLOGIES INCLUDED BLUNT ABDOMINAL TRAUMA(6), IDIOPATHIC(3), GALLSTONES(1). AVERAGE CYST DIAMETER WAS 6.5CMS,. LAPAROSCOPIC CYSTOGASTROSTOMY BY TRANSGASTRIC APPROACH WAS SUCCESSFULLY POSSIBLE IN 10 CASES WITH NO CONVERSION. CYSTOGASTROSTOMY WAS PERFORMED USING SUTURES IN 5 PATIENTS AND ULTRASONIC ENERGY DEVICE IN 5 PATIENTS. GASTROTOMY WAS CLOSED WITH SUTURES IN ALL 10 CASES. MEAN OPERATIVE TIME WAS 98 MINUTES. POST OPERATIVE IMAGING AT 3 MONTHS REVEALED NO PERSISTENCE OR RECURRENCE OF CYST.
CONCLUSION: MINIMALLY INVASIVE LAPAROSCOPIC APPROACH FOR CHRONIC PANCREATIC PSEUDOCYST IN PEDIATRIC AGE GROUP IS SAFE AND EFFECTIVE STRATEGY AND SHOULD BE ADOPTED AS PRIMARY MODALITY OF TREATMENT.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 86638
Program Number: P672
Presentation Session: iPoster Session (Non CME)
Presentation Type: Poster
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