Laparoscopic treatment of pancreatic pseudocyst. 3 cases
Champault, G.; Rizk, N.; Lebhar, E.; Catheline, J.M.; Barrat, C.; Cazacu, F.
Annales de Chirurgie 52(1): 41-44
1998
ISSN/ISBN: 0003-3944 PMID: 9752407 Document Number: 485531
Three patients with pancreatic pseudocysts were treated laparoscopically by cysto-enteric by pass. Two developed a large cyst in the course of acute biliary pancreatitis. The third patient had chronic pancreatitis of unknown etiology. The mean size of the collection was 12 cm (8-20). Treatment was performed with a delay of 80 days (30-300) after the onset of the disease. Two patients underwent laparoscopic cysto-gastrostomy using laparoscopic ultrasound. Stapling anastomosis appears easy and safe. The third patient underwent operating laparoscopically assisted cysto-jejunostomy with an-Y loop. Mean time was 120 minutes (90-200) and hospital stay was 7 days (5-8) without morbidity. The follow-up was 18 months without radiological recurrence and with excellent clinical results.