Ionut Bogdan I Diaconescu, Matei Razvan Bratu, Dragos Ene, Mircea Beuran. Carol Davila University of Medicine and Pharmacy
Introduction: Laparoscopic cystogastrostomy is an suitable procedure for the drainage of pancreatic pseudocysts if the cysts is present in the lesser sac (retro-gastric).
Methods: We present 2 consecutive cases where transmural drainage was tried, but for two cases it failed, because the cyst wall was thick and the cyst had completely compressed the stomach, making endoscopic manipulation difficult inside the stomach.
Results: Laparoscopic drainage was a simple solution to the problems in managing a huge pancreatic pseudocyst of 17 cm×18 cm in a 57 years old male with a history of acute pancreatitis. Ultrasound and computed tomography revealed showed a walled off cystic collection that pushed the stomach superiorly. The cyst was exposed by dissecting the lesser omentum and found to have no adhesion to the surrounding tissues. Anastomosis was performed using an endoscopic linear stapler via small cystotomy and gastrotomy openings on the lesser curvature, which were then sutured laparoscopically. The postoperative course was uneventful. Laparoscopic cholecystectomy was done in 6 weeks later after the drainage procedure.
Conclusion: Laparoscopic surgery is recommended as a safe, reliable, and minimally invasive treatment for managing pancreatic pseudocyst.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 96033
Program Number: V295
Presentation Session: Video Loop Day 3
Presentation Type: VideoLoop