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Laparoscopic loop cystojejunostomy: An alternative to Roux-en-Y cystojejunostomy for pancreatic pseudocyst
Mohit K Badgurjar1, Pranav Mandovra1, Surendra K Mathur1
1Department of Digestive Diseases, Zen Multispecialty Hospital, Mumbai, Maharashtra, India.
Journal of Minimal Access Surgery
|September 23, 2020
Summary
Laparoscopic loop cystojejunostomy offers a safe and simple surgical option for draining pancreatic pseudocysts. This technique effectively manages pseudocysts without complications like reflux, providing a viable alternative to other drainage methods.
Area of Science:
- Gastroenterology
- Surgical Oncology
- Minimally Invasive Surgery
Background:
- Pancreatic pseudocysts require surgical internal drainage into the stomach, duodenum, or jejunum.
- Roux-en-Y loop cystojejunostomy is often preferred to prevent jejunal content reflux into the cyst.
Purpose of the Study:
- To evaluate the safety and efficacy of laparoscopic loop cystojejunostomy for pancreatic pseudocyst drainage.
- To assess the complication rate, specifically reflux, associated with this laparoscopic technique.
Main Methods:
- Laparoscopic loop cystojejunostomy was performed for internal drainage of pancreatic pseudocysts.
- The technique's simplicity and outcomes were documented.
Main Results:
- Laparoscopic loop cystojejunostomy was safely performed.
- The procedure demonstrated a simpler technique compared to alternatives.
- No complications, including reflux, were observed.
Conclusions:
- Laparoscopic loop cystojejunostomy is a safe and effective method for surgically draining pancreatic pseudocysts.
- The technique is simpler and avoids complications such as reflux.
- This approach offers a valuable minimally invasive option for managing pancreatic pseudocysts.

