[Laparoscopic treatment for pancreatic pseudocysts]

Area of Science:

• Gastroenterology
• Surgical Oncology
• Minimally Invasive Surgery

Background:

• Pancreatic pseudocysts are the most frequent cystic lesions encountered in clinical practice.
• Laparoscopic surgery has become the preferred surgical modality for pancreatic pseudocysts in recent years.

Purpose of the Study:

• To explore the optimal timing and procedural options for laparoscopic surgery in managing pancreatic pseudocysts.
• To evaluate the efficacy and safety of laparoscopic approaches for pancreatic pseudocyst treatment.

Main Methods:

• Review of clinical guidelines and surgical decision-making criteria for pancreatic pseudocysts.
• Analysis of laparoscopic surgical techniques, including cyst-gastric and cyst-jejunal anastomosis.
• Evaluation of patient outcomes based on cyst characteristics and surgical approach.

Main Results:

• Surgical intervention is indicated for pancreatic pseudocysts that enlarge, persist for over 6 months, exceed 6 cm in diameter, or cause symptoms.
• Laparoscopic cyst-gastric anastomosis is preferred for cysts near the stomach; laparoscopic cyst-jejunal anastomosis is recommended for more distant cysts.
• Laparoscopic surgery demonstrates significant benefits, including shorter operative times, reduced blood loss, minimal trauma, fewer postoperative complications, and accelerated patient recovery.

Conclusions:

• Laparoscopic surgery provides a safe and effective treatment option for pancreatic pseudocysts.
• Surgical technique selection should be tailored to the pseudocyst's location and the surgeon's expertise.
• The advantages of laparoscopic surgery contribute to improved patient outcomes and recovery in managing pancreatic pseudocysts.