Laparoscopic Drainage Procedures for Pancreatic Pseudocyst: A Review Article

Nema, Anurag; Mishra, RK

doi:10.5005/jp-journals-10007-1024

Cited by 3 publications

(5 citation statements)

References 15 publications

(12 reference statements)

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“…10 With the advent of laparoscopy drainage of the pancreatic pseudocyst by laparoscope began. 6,8,9,11 Up to 2016 more than 250 laparoscopic drainage procedures for pancreatic pseudocyst were performed worldwide with mortality rate 0% success rate 92%, overall complication rate 9%,6.7% conversion to open surgery and recurrence rate 3%.…”

Section: Discussionmentioning

confidence: 99%

“…5 due to high morbidity and mortality rate the introduction of minimal invasive surgery for pancreatic pseudocyst was developed in 1990 this include laparoscopic internal drainage of the pseudocyst, endoscopic drainage and radiological drainage techniques. 1,2,6,7 Laparoscopic internal drainage of pancreatic pseudocyst includes a variety of technique such as posterior cystogastrostomy, anterior cystogastrostomy and Rouxen-Y jejunal loop. 8,9 The objective of this study was to evaluate the outcome of pancreatic cystogastrostomy for pancreatic pseudocyst as regard operative and postoperative results in Sohag university Hospitals.…”

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confidence: 99%

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Laparoscopic cysto-gastrostomy for management of pancreatic pseudocyst. Single center experience in upper Egypt

2017

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INTRODUCTIONOne of the most common lumps of the pancreas is the pancreatic pseudocyst, with an estimated incidence of 70-80%.1 Pancreatic pseudocyst development following an attack of acute pancreatitis, chronic pancreatitis or abdominal trauma.2 There are two main option for treatment pancreatic pseudocyst if it persists beyond six ABSTRACT Background: One of the most common lumps of the pancreas is the pancreatic pseudocyst, with an estimated incidence of 70-80%. There are two main options for treatment pancreatic pseudocyst if it persists beyond six weeks and not respond to conservative treatment, surgical (laparoscopic and conventional open surgery) and non-surgical treatment (endoscopic and percutaneous drainage through ultrasonography or computed tomography guide). The objective of this study was to evaluate the outcome of laparoscopic pancreatic cystogastrostomy for pancreatic pseudocyst as regard operative and postoperative results in Sohag university Hospitals. Methods: This was a prospective observational single center study at the General surgery department Sohag University Hospitals, Egypt. The study populations were patients suffering from pancreatic pseudocyst attend to the outpatient clinic from March 2014 to March 2017. All patients were evaluated by history taking, physical examination, laboratory investigation and imaging evaluation by abdominal ultrasonography and contrast enhanced computed tomography of the abdomen. Results: Between March 2014 and March 2017, 14 patients with pancreatic pseudocyst had fulfilled our inclusion criteria and included in this study. 8 patients were female and 6 patients were male. 12 patients had previous history of acute biliary pancreatitis at least 6 months before the operation. 2 patient had undetermined pancreatitis. The mean age of the patient was 45.5±1.8 years and the mean operative time was 153±29 minutes the mean time to start oral fluid was 29±2 hours. 12 of the patient shad a laparoscopic cholecystectomy as all of them had acute biliary pancreatitis all operations were completed laparoscopically no conversion to open surgery was done.no mortality detected in our study .no intraoperative complications only one case had postoperative bleeding that respond to conservative therapy, one case of postoperative wound infection responds to antibiotic therapy. All cysts were resolved completely success rate (100%). The mean hospital stay was 4.35±0.28 days. The mean follows up time was 10.5±0.875 months. Conclusions: Laparoscopic cysogastrotomy is as safe, effective procedure for management of the pancreatic pseudocyst in the hand of expert well trained laparoscopic with enough equipment.

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Section: Discussionmentioning

confidence: 99%

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confidence: 99%

Laparoscopic cysto-gastrostomy for management of pancreatic pseudocyst. Single center experience in upper Egypt

2017

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“…The standard technique is open cysto-gastrostomy associated with a post surgical morbidity (5,6,7). Minimal access techniques will minimize this morbidity allowing early feeding, mobilization and discharge from hospital (1,2,3,5,6). With the availability of equipment and training laparoscopic drainage was used in place of open in our unit.…”

Section: Discussionmentioning

confidence: 99%

Management of Pancreatic Pseudocyst: Where do we stand?

Galketiya¹,

Pinto

Samarasinghe³

et al. 2015

Anuradhapura Med. J.

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Pancreatic pseudocysts persisting beyond six weeks needs decompression, specially when they are larger than 6cm and symptomatic. Cysto-gastrostomy is the treatment of choice. This may be done by open, laparoscopic or endoscopic methods. Endoscopic cystogastrostomy has the least morbidity. Ultrasound guided aspiration causes lesser morbidity but has a higher incidence of recurrence. We compare six patients with pseudocysts treated by aspiration and cystogastrostomy; open, laparoscopic and endoscopic.

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“…This is associated with a significant morbidity like pain, ileus, prolonged hospital stay and late wound complications like incisinal hernia. [5][6][7] Minimal access techniques can reduce this morbidity. Radiological guided, laparoscopic and endoscopic drainage are minimal access techniques.…”

Section: Introductionmentioning

confidence: 99%

“…Radiological guided, laparoscopic and endoscopic drainage are minimal access techniques. 5,6,[8][9][10] Endoscopic drainage is a minimally invasive alternative which may be performed by a trans-papillary or a transmural approach. Drainage of the cyst fluid by the transmural approach is achieved by inserting a stent between the pseudocyst and the gastric lumen (cystogastrostomy) or between the pseudocyst and the duodenal lumen (cystoduodenostomy).…”

Section: Introductionmentioning

confidence: 99%

A prospective study on surgical versus endoscopic cystoenterostomy

et al. 2019

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Background: The aim of the present study was to compare endoscopic and surgical modalities in the treatment of pancreatic pseudocysts. Comparisons were based on clinical success, complication rate, recurrence and hospital stay.Methods: This is a prospective comparative study, enrolling 24 patients, 13 in surgical group and 11 in endoscopic group. The duration of study was from December 2013 to September 2015. The minimum follow up was for atlas 6 months.Results: 13 (54%) of cases were managed surgically, 11 (46%) of cases were treated endoscopically. The clinical success of the endoscopic group was 72.7% versus 100% for the surgical group (p=0.216), with a complication rate of 36.4% and 15.3%, respectively (p= 0.659). The hospital stay was lower for the endoscopic group was 9.82 days compared with 12.08 days in the surgical group. The two recurrences found in the endoscopic group were associated with main pancreatic duct stricture and disconnected pancreatic duct. The duration to oral intake post procedure was lower in endoscopic group 4.36 days (p<0.001). 18.2% of patients in endoscopic group required conversion to open surgery.Conclusions: Non EUS guided cystoenterostomy has to be phased out. 1/3rd of patients undergoing endoscopic cystoenterostomy require more than 6 months of stent placement. In patients with disruption of the main pancreatic duct, endoscopic intervention is more successful when combined with transpapillary ductal stent placement.

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Laparoscopic Drainage Procedures for Pancreatic Pseudocyst: A Review Article

Cited by 3 publications

References 15 publications

Laparoscopic cysto-gastrostomy for management of pancreatic pseudocyst. Single center experience in upper Egypt

Laparoscopic cysto-gastrostomy for management of pancreatic pseudocyst. Single center experience in upper Egypt

Management of Pancreatic Pseudocyst: Where do we stand?

A prospective study on surgical versus endoscopic cystoenterostomy

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