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Updated: Oct 8, 2025

Single Incision Plus One Port Laparoscopic Proximal Gastrectomy with Double Channel Anastomosis for Gastric Cancer Treatment
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Laparoscopic Intragastric Cystgastrostomy: A Technical Report.

Kelly T Wagner1, Jason Zimmermann1, Lila Brody1

  • 1Department of Surgery, Washington DC VA Medical Center, Washington, District of Columbia, USA.

Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
|December 28, 2021
PubMed
Summary
This summary is machine-generated.

Laparoscopic surgery offers a vital alternative for managing pancreatic pseudocysts when endoscopic methods fail or are unavailable. This minimally invasive technique provides comparable clinical benefits to endoscopic approaches for patients.

Keywords:
cystgastrostomyendoscopyintragastriclaparoscopypancreatic pseudocystultrasound

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Area of Science:

  • Minimally Invasive Surgery
  • Gastroenterology
  • Surgical Technology

Background:

  • Symptomatic pancreatic pseudocysts present significant management challenges.
  • Endoscopic procedures are the primary treatment, but laparoscopic surgery remains essential.
  • Laparoscopic techniques are crucial when endoscopic management is unavailable or unsuccessful.

Purpose of the Study:

  • To describe a laparoscopic intragastric approach for pancreatic pseudocyst management.
  • To detail the use of intraoperative ultrasound and endoscopy in the procedure.
  • To highlight the viability of laparoendoscopic techniques as an alternative.

Main Methods:

  • A laparoscopic intragastric cystgastrostomy was performed.
  • Intraoperative ultrasound and endoscopy were utilized for guidance.
  • This approach was applied in selective cases requiring surgical intervention.

Main Results:

  • The laparoscopic intragastric approach successfully created a pancreatic cystgastrostomy.
  • The technique was effective in cases where endoscopic management was not feasible.
  • Patients achieved clinical benefits similar to endoscopic treatments.

Conclusions:

  • Laparoscopic intragastric cystgastrostomy is a valuable minimally invasive option for pancreatic pseudocysts.
  • This technique provides an alternative when endoscopic management fails or is inaccessible.
  • It offers comparable clinical outcomes to endoscopic procedures.