Salih PEKMEZCİ, Metin KAPAN, Kaya SARIBEYOĞLU, Hasan TAŞÇI, Ece KOL

Laparoscopic Cystogastrostomy for the Management of Pancreatic Pseudocysts

Aims: To assess the value of laparoscopic cystogastrostomy in the treatment of pancreatic pseudocysts. Materials and Methods: Patients who underwent laparoscopic surgery for pancreatic pseudocysts were included in the study. All the cysts were non-resolving, symptomatic and large, as a result of acute pancreatitis. Laparoscopic cystogastrostomies were performed by either anterior transgastric or posterior techniques. Results: From February 2001 to November 2006, seven patients were included into the study. The etiology of pancreatitis was gallstone disease in six cases and hyperlipidemia in one. The mean age was 58.7 years (52-69) and the mean pseudocyst size was 15.1 cm (7-20). Transgastric cystogastrostomy and posterior cystogastrostomy were carried out in three and four patients, respectively, with no conversion. Mean hospital stay was 13.4 days (6-30). Neither mortality nor procedure-related major complication was encountered. Follow-up computerized tomography studies confirmed complete resolution of the cyst in all cases, in the first month. Conclusions: Laparoscopic cystogastrostomy is an effective and safe treatment of pancreatic pseudocysts.

Anahtar Kelimeler:

Pseudocyst, laparoscopy, cystogastrostomy, pancreatitis

Laparoscopic Cystogastrostomy for the Management of Pancreatic Pseudocysts

Keywords:

Pseudocyst, laparoscopy, cystogastrostomy, pancreatitis,

PDF

___

Chowbey PK, Soni V, Sharma A, Khullar R, Baijal M, Vashistha A. Laparoscopic intragastric stapled cystogastrostomy for pancreatic pseudocyst. J Laparoendosc Adv Surg Tech A 2001; 11: 201-5.
Pekmezci S, Sarıbeyoğlu K, Karahasanoğlu T, Taşçı H. Total laparoscopic cystogastrostomy for the treatment of pancreatic pseudocyst. J Laparoendosc Adv Surg Tech A 2002; 12: 119-22.
Hauters P, Weerts J, Peillon C, Champault G, Bokobza B, Roeyen G et al. Traitement des pseudokystes du pancréas par kystogastrostomie laparoscopique. Ann Chir 2004; 129: 347-52.
Obermeyer RJ, Fisher WE, Salameh JR, Jeyapalan M, Sweeney JF, Brunicardi FC. Laparoscopic pancreatic cystogastrostomy. Surg Laparosc Endosc Percutan Tech 2003; 13: 250-3.
Smadja C, Badawy A, Vons C, Giraud V, Franco D. Laparoscopic cystogastrostomy for pancreatic pseudocyst is safe and effective. J Laparoendosc Adv Surg Tech A 1999; 9: 401-3.
Roth JS, Park AE. Laparoscopic pancreatic cystgastrostomy: the lesser sac technique. Surg Laparosc Endosc Percutan Tech 2001; 11: 201-3.
Barragan B, Love L, Wachtel M, Griswold JA, Frezza EE. A comparison of anterior and posterior approaches for the surgical treatment of pancreatic pseudocyst using laparoscopic cystogastrostomy. J Laparoendosc Adv Surg Tech A 2005; 15: 596-600.
Teixeira J, Gibbs KE, Vaimakis S, Rezayat C. Laparoscopic Roux- en-Y pancreatic cyst-jejunostomy. Surg Endosc 2003; 17: 1910- 3.
Davila-Cervantes A, Gomez F, Chan C, Bezaury P, Robles-Diaz G, Uscanga LF et al. Laparoscopic drainage of pancreatic pseudocysts. Surg Endosc 2004; 18: 1420-6.
Singhal D, Kakodkar R, Sud R, Chaudhary A. Issues in management of pancreatic pseudocysts. JOP 2006; 7(5): 502-7.
Criado E, De Stefano AA, Weiner TM, Jaques PF. Long term results of percutaneous catheter drainage of pancreatic pseudocysts. Surg Gynecol Obstet 1992; 175: 293-8.
Heider R, Meyer AA, Galanko JA, Behrns KE. Percutaneous drainage of pancreatic pseudocysts is associated with a higher failure rate than surgical treatment in unselected patients. Ann Surg 1999; 229: 781-7.
Morton JM, Brown A, Galanko JA, Norton JA, Grimm IS, Behrns KE. A national comparison of surgical versus percutaneous drainage of pancreatic pseudocysts: 1997-2001. J Gastrointest Surg 2005; 9: 15-20.
Nealon WH, Walser E. Surgical management of complications associated with percutaneous and/or endoscopic management of pseudocyst of the pancreas. Ann Surg 2005; 241: 948-57.
Vidyarthi G, Steinberg SE. Endoscopic management of pancreatic pseudocysts. Surg Clin North Am 2001; 81: 405-10.
Vitas GJ, Sarr MG. Selected management of pancreatic pseudocysts: operative versus expectant management. Surgery 1992;