Primary and overall success rates for clinical outcomes after laparoscopic, endoscopic, and open pancreatic cystgastrostomy for pancreatic pseudocysts

Melman, Lora; Azar, Riad R.; Beddow, Kathleen; Brunt, L. Michael; Halpin, Valerie J.; Eagon, J. Christopher; Frisella, Margaret M.; Edmundowicz, Steven A.; Jonnalagadda, Sreenivasa S.; Matthews, Brent D.

doi:10.1007/s00464-008-0196-2

Cited by 119 publications

(101 citation statements)

References 15 publications

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“…Although there is a lack of evidence, endoscopic drainage may be preferred to surgical treatment because it has a better risk/benefit profile, being less invasive and providing an equally effective drainage, and it is the treatment of choice in high-risk patients [215,216]. Moreover, endoscopy does not exclude or compromise subsequent surgery.…”

Section: E3: Is Endoscopic Therapy Indicated In Chronic Pancreatitismentioning

confidence: 99%

Italian consensus guidelines for chronic pancreatitis

Frulloni

Falconi

Gabbrielli

et al. 2010

Digestive and Liver Disease

165

112

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This paper gives practical guidelines for diagnosis and treatment of chronic pancreatitis. Statements have been elaborated by working teams of experts, by searching for and analysing the literature, and submitted to a consensus process by using a Delphi modified procedure. The statements report recommendations on clinical and nutritional approach, assessment of pancreatic function, treatment of exocrine pancreatic failure and of secondary diabetes, treatment of pain and prevention of painful relapses. Moreover, the role of endoscopy in approaching pancreatic pain, pancreatic stones, duct narrowing and dilation, and complications was considered. Recommendations for most appropriate use of various imaging techniques and of ultrasound endoscopy are reported. Finally, a group of recommendations are addressed to the surgical treatment, with definition of right indications, timing, most appropriate procedures and techniques in different clinical conditions and targets, and clinical and functional outcomes following surgery. © 2010 Editrice Gastroenterologica Italiana S.r.l

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Section: E3: Is Endoscopic Therapy Indicated In Chronic Pancreatitismentioning

confidence: 99%

Italian consensus guidelines for chronic pancreatitis

Frulloni

Falconi

Gabbrielli

et al. 2010

Digestive and Liver Disease

165

112

View full text Add to dashboard Cite

show abstract

“…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%

“…3,4 It is reported that conventional open technique had morbidity rate can reach up to 40% and a mortality rate in 5.8%. 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.…”

mentioning

confidence: 99%

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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“…The success rate is reportedly about 77%, and the mortality rate is about 11%. The main complications include pancreatic fistula formation, abdominal infection, and retroperitoneal infection [14]. With respect to the optimal timing of surgery, it is advisable to wait until 4 weeks after the onset of pancreatitis if possible.…”

Section: Cmentioning

confidence: 99%

Laparoscopy with nephroscopy in single-stage necrosectomy for the treatment of severe acute pancreatitis

Yin¹,

Lu²,

Zhong³

et al. 2018

biomedicalresearch

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Primary and overall success rates for clinical outcomes after laparoscopic, endoscopic, and open pancreatic cystgastrostomy for pancreatic pseudocysts

Abstract: Laparoscopic and open pancreatic cystgastrostomy both have a higher primary success rate than endoscopic internal drainage, although repeat endoscopic cystgastrostomy provides overall success for selected patients.

Cited by 119 publications

References 15 publications

Italian consensus guidelines for chronic pancreatitis

Italian consensus guidelines for chronic pancreatitis

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

Laparoscopy with nephroscopy in single-stage necrosectomy for the treatment of severe acute pancreatitis

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