Laparoscopic Roux-En-Y cystojejunostomy for pancreatic pseudocyst after laparoscopic removal of pancreatic pseudopapillary tumor

Attasit Chokechanachaisakul, MD, Gustavo Stringel, MD, Dominick A Vitale, MD, Ashutosh Kaul, MD

New York Medical College

Pancreatic pseudocyst as a complication after laparoscopic removal of pseudopapillary tumor of uncinate process in pediatric patients is rare and complicated. The location of the cyst, space limitation and significant inflammation around the head of pancreas make the operation more challenging. We report laparoscopic Roux-en-Y cystojejunostomy as the surgical treatment for a 13-year-old girl who developed a 7-cm pancreatic pseudocyst near the head of pancreas after laparoscopic removal of pseudopapillary tumor of uncinate process. The Roux-en-Y cystojejunostomy anastomosis was created using transmesocolic approach at the most dependent part of the cyst. This video highlights the technical issues in enteric drainage of peripancreatic collections.

Session: Video Channel Day 1

Program Number: V063