Pancreatic pseudocyst: combined single incision laparoscopic cystogastrostomy and cholecystectomy in a resource poor setting

Singh, Yudhvir; Cawich, Shamir O; Olivier, Leyrone; Kuruvilla, Thivy; Mohammed, Fawwaz; Naraysingh, Vijay

doi:10.1093/jscr/rjw176

Cited by 3 publications

(3 citation statements)

References 10 publications

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“…To date there have only been one published case report of totally LPD[ 59 ] and three (un-published) laparoscopic-assisted PDs performed in Trinidad & Tobago. Otherwise, the reports of minimally invasive pancreatic surgery in the Anglophone Caribbean have been limited to three small series of laparoscopic distal pancreatectomies[ 57 , 60 , 61 ] and two reports of laparoscopic cysto-gastrostomy[ 62 , 63 ]. Up to the year 2021, there were no surgical robots in any English-speaking Caribbean country.…”

Section: Caribbean Experiencementioning

confidence: 99%

Review of minimally invasive pancreas surgery and opinion on its incorporation into low volume and resource poor centres

Cawich¹,

Kluger²,

Francis³

et al. 2021

WJGS

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Pancreatic surgery has been one of the last areas for the application of minimally invasive surgery (MIS) because there are many factors that make laparoscopic pancreas resections difficult. The concept of service centralization has also limited expertise to a small cadre of high-volume centres in resource rich countries. However, this is not the environment that many surgeons in developing countries work in. These patients often do not have the opportunity to travel to high volume centres for care. Therefore, we sought to review the existing data on MIS for the pancreas and to discuss. In this paper, we review the evolution of MIS on the pancreas and discuss the incorporation of this service into low-volume and resource-poor countries, such as those in the Caribbean. This paper has two parts. First, we performed a literature review evaluating all studies published on laparoscopic and robotic surgery of the pancreas. The data in the Caribbean is examined and we discuss tips for incorporating this operation into resource poor hospital practice. Low pancreatic case volume in the Caribbean, and financial barriers to MIS in general, laparoscopic distal pancreatectomy, enucleation and cystogastrostomy are feasible operations to integrate in to a resource-limited healthcare environment. This is because they can be performed with minimal to no consumables and require an intermediate MIS skillset to complement an open pancreatic surgeon’s peri-operative experience.

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Section: Caribbean Experiencementioning

confidence: 99%

Review of minimally invasive pancreas surgery and opinion on its incorporation into low volume and resource poor centres

Cawich¹,

Kluger²,

Francis³

et al. 2021

WJGS

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“…The advantages of a minimally-invasive approach for the treatment of pancreatic pseudocysts and WOPN are well known[8,9]. In the last decades different minimally invasive approaches have been described in literature, including endoscopic[10], laparoscopic[11,12], SILS[13] and robotic approach[5-7]. Several cases of laparoscopic drainage of pancreatic pseudocysts by cystogastrostomy have been described since the late 90s by Smadja et al[14].…”

Section: Discussionmentioning

confidence: 99%

Robot-assisted trans-gastric drainage and debridement of walled-off pancreatic necrosis using the EndoWrist stapler for the da Vinci Xi: A case report

Morelli

Furbetta

Gianardi

et al. 2019

WJCC

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BACKGROUND Walled-off pancreatic necrosis (WOPN) is a late complication of acute pancreatitis. The management of a WOPN depends on its location and on patient's symptoms. Trans-gastric drainage and debridement of WOPN represents an important surgical treatment option for selected patients. The da Vinci surgical System has been developed to allow an easy, minimally invasive and fast surgery, also in challenging abdominal procedures. We present here a case of a WOPN treated with a robotic trans-gastric drainage using the da Vinci Xi. CASE SUMMARY A 63-year-old man with an episode of acute necrotizing pancreatitis was referred to our center. Six wk after the acute episode the patient developed a walled massive fluid collection, with an extensive pancreatic necrosis, causing obstruction of the gastrointestinal tract. The patient underwent a robotic trans-gastric drainage and debridement of the WOPN performed with the da Vinci Xi platform. Firstly, an anterior ideal gastrotomy was carried out, guided by intraoperative ultrasound (US) - scan using the TilePro™ function. Then, through the gastrotomy, the best location for drainage on the posterior gastric wall was again US-guided identified. The anastomosis between the posterior gastric wall and the walled-off necrosis wall was carried out with the new EndoWrist stapler with vascular cartridge. Debridement and washing of the cavity through the anastomosis were performed. Finally, the anterior gastrotomy was closed and the cholecystectomy was performed. The postoperative course was uneventful and a post-operative computed tomography-scan showed the collapse of the fluid collection. CONCLUSION In selected cases of WOPN the da Vinci Surgical System can be safely used as a valid surgical treatment option.

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“…Oncologic surgery in the Caribbean has evolved over the past decade, with increasing reports of advanced minimally invasive operations being reported in the region [1][2][3]. However, as it relates to pancreatic surgery, the minimally invasive approach has been limited to operations for pancreatic pseudocysts and distal pancreatectomies, with little application to periampullary lesions [4][5][6]. This is because a totally laparoscopic Whipple's operation is a technically demanding and time-consuming operation.…”

Section: Introductionmentioning

confidence: 99%

Totally Laparoscopic Whipple’s Operation: Initial Report from the Caribbean

Singh¹,

Cawich²,

Mohammed³

et al. 2020

Cureus

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Oncologic surgery in the Caribbean has evolved over the past decade, with increasing reports of advanced minimally invasive operations being performed. However, the minimally invasive approach has not been used for peri-ampullary lesions. This is because a laparoscopic Whipple's operation is a technically demanding and time-consuming operation. We report the first case of a totally laparoscopic Whipple's operation to be performed in the Caribbean.

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Pancreatic pseudocyst: combined single incision laparoscopic cystogastrostomy and cholecystectomy in a resource poor setting

Cited by 3 publications

References 10 publications

Review of minimally invasive pancreas surgery and opinion on its incorporation into low volume and resource poor centres

Review of minimally invasive pancreas surgery and opinion on its incorporation into low volume and resource poor centres

Robot-assisted trans-gastric drainage and debridement of walled-off pancreatic necrosis using the EndoWrist stapler for the da Vinci Xi: A case report

Totally Laparoscopic Whipple’s Operation: Initial Report from the Caribbean

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