Laparoscopic and endoscopic approaches for drainage of pancreatic pseudocysts: a systematic review of published series

Aljarabah, Moayad; Ammori, Basil J.

doi:10.1007/s00464-007-9515-2

Cited by 89 publications

(56 citation statements)

References 36 publications

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“…Symptomatic pancreatic pseudocysts which persist beyond six weeks and larger than six centimeters warrants decompression (1,2,3,4). The standard technique is open cysto-gastrostomy associated with a post surgical morbidity (5,6,7).…”

Section: Discussionmentioning

confidence: 99%

“…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%

“…It arises as a consequence of acute pancreatitis, pancreatic trauma and chronic pancreatitis. (1,2). Initial management is conservative, expecting spontaneous resolution.…”

Section: Introductionmentioning

confidence: 99%

“…Initial management is conservative, expecting spontaneous resolution. Symptomatic cysts which persist beyond six weeks and larger than six centimeters warrants decompression (1,2,3,4). The standard drainage procedure is cysto-gastrostomy by laparotomy.…”

Section: Introductionmentioning

confidence: 99%

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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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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…It arises as a consequence of acute pancreatitis, pancreatic trauma and chronic pancreatitis. (1,2). Initial management is conservative, expecting spontaneous resolution.…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Management of Pancreatic Pseudocyst: Where do we stand?

Galketiya¹,

Pinto

Samarasinghe³

et al. 2015

Anuradhapura Med. J.

View full text Add to dashboard Cite

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“…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.…”

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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