Laparoscopic Pancreatic Pseudocystogastrostomy, Series Case Report

Abstract

Nezar A Almahfooz

Background: Pancreatic pseudocysts (PPC) are the most common complications of acute and chronic pancreatitis. Almost half is spontaneously resolved, and the rest requires surgical intervention if it is symptomatic or complicated. The options for surgical intervention are open, minimally invasive laparoscopic surgery. However, there is an option for endoscopic or percutaneous ultrasonic guided drainage. Three cases of pancreatic pseudocysts (PPC) are presented and are managed entirely by laparoscopic pancreatic pseudocystogastrostomy (LPPCG) and other options discussed.

Case Summary: Three cases of large pseudocyst of the pancreas are presented with a similar story and different age. All of them are presented as a complication of microlithiasis of gallbladder stones. The patients underwent complete blood and biochemical investigations. The Ultrasonography was supported by a computerized tomography (CT) of the abdomen to identify the relationship with the gastric wall. All were prepared preoperatively and underwent posterior pancreatic pseudocystogastrostomy laparoscopic stapling. The postoperative period was uneventful and the patients followed it between 8 months, 2 years and 6 years with excellent resolution [1].

Conclusion: The laparoscopic pancreatic pseudocystogastrostomy (LPPCG) is a minimally invasive procedure that proves to be excellent in the drainage and resolution of the pseudocyst of the pancreas. No complications or recurrences were found in this small series study and few complications and low recurrence are mentioned in literature works. Therefore, we recommend having a large number of similar cases to conclude that it is the best minimally invasive procedure for the treatment of the pseudocyst of the pancreas.

PDF