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Stapled laparoscopic cystgastrostomy: a series with 15 cases
A Hindmarsh1, M P N Lewis, M Rhodes
1Department of General Surgery, Norfolk and Norwich University Hospital, Colney Lane, Norwich, NR4 7UY, UK. andrewhindmarsh@hotmail.com
Surgical Endoscopy
|November 19, 2004
Summary
Stapled laparoscopic cystgastrostomy effectively drains pancreatic pseudocysts near the stomach. This minimally invasive technique shows safety and efficacy, reducing hemorrhage risk in patients with posterior wall pseudocysts.
Area of Science:
- Gastroenterology
- Minimally Invasive Surgery
- Surgical Oncology
Background:
- Pancreatic pseudocysts can present significant management challenges.
- Cystgastrostomy is a common drainage procedure for pseudocysts adjacent to the stomach.
Purpose of the Study:
- To evaluate the clinical outcomes of laparoscopic stapled cystgastrostomy.
- To assess the safety and efficacy of this technique for pseudocysts in contact with the posterior stomach wall.
Main Methods:
- Retrospective case note review of patients undergoing the procedure.
- Laparoscopic stapled cystgastrostomy performed using a vascular ETS stapling device.
- Anterior gastrotomy approach utilized in all cases.
Main Results:
- Successful completion in 12 out of 15 patients; 3 required conversion to open surgery.
- No bleeding complications directly from the cystgastrostomy.
- Early complications included sepsis (1), gastric ulcer (1), and recurrence (2) due to partial closure.
- No late recurrences observed at a median follow-up of 37 months.
Conclusions:
- Laparoscopic stapled cystgastrostomy is a safe and effective method for draining pancreatic pseudocysts.
- Utilizing a hemostatic stapling device may mitigate the risk of severe bleeding.
- The procedure offers a viable minimally invasive option for specific pseudocyst presentations.