Laparoscopic pancreatic cystgastrostomy

J. Scott Roth, Adrian Park

Research output: Contribution to journalArticle

Abstract

Management of pancreatic pseudocysts has remained largely unchanged during the past century. Excision and drainage procedures remain the mainstay of therapy for large, persistent, or symptomatic pseudocysts. Laparoscopic approaches to the management of pancreatic pseudocysts have been previously described. The lesser sac approach is an effective means of creating a hemostatic cystgastrostomy through a single posterior gastrotomy. This procedure is performed by creating a cystotomy and posterior wall gastrotomy through which an endoscopic stapler is applied. The cystotomy - gastrotomy is closed using laparoscopically placed sutures. An endoscope is inserted into the stomach and pseudocyst at the conclusion of the procedure to ensure an airtight anastomosis. The lesser sac approach to pancreatic cystgastrostomy allows for a minimally invasive approach to the management of pancreatic pseudocysts using a single gastrotomy.

Original languageEnglish (US)
Pages (from-to)201-203
Number of pages3
JournalSurgical Laparoscopy, Endoscopy and Percutaneous Techniques
Volume11
Issue number3
DOIs
Publication statusPublished - Jul 5 2001
Externally publishedYes

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Keywords

  • Cystgastrostomy
  • Laparoscopic
  • Pancreas
  • Pseudocyst

ASJC Scopus subject areas

  • Surgery

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