Clinical analysis of laparoscopic cystogastrostomy for retrogastric pancreatic pseudocysts
10.3760/cma.j.issn.1674-1935.2012.03.002
- VernacularTitle:腹腔镜下经胃囊肿-胃内引流术治疗胃后型胰腺假性囊肿的临床分析
- Author:
Zhongkui JIN
;
Dong ZHANG
;
Xin ZHAO
;
Hua FAN
;
Xianliang LI
;
Fei PAN
;
Qiang HE
;
Dazhi CHEN
- Publication Type:Journal Article
- Keywords:
Pancreatic pseudocyst;
Laparoscopes;
Cystogastrostomy
- From:
Chinese Journal of Pancreatology
2012;12(3):150-152
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the clinical value of laparoscopic cystogastrostomy for retrogastric pancreatic pseudocysts.Methods Five patients suffering from retrogastric pancreatic pseudocysts caused by severe acute biliary pancreatitis received conservative management for 2 ～ 6 months,and the sizes of pseudocysts were 8,10,12,14,15 cm.All the 5 patients received laparoscopic cystogastrostomy,and 4 ports methods was applied,through anterior gastric wall,the posterior gastric wall and pancreatic pseudocysts were incised by using harmonic scalpel,then cystogastrostomy was performed to drain the pseudocysts.Results Laparoscopic cystogastrostomy for retrogastric pancreatic pseudocysts was successful in all patients,theoperation time was 90,105,115,120,150 minutes.The blood loss was 100,150,150,200,300 ml.No intra-gastric bleeding occurred.After 1 month follow-up,all the pseudocysts disappeared,and there was no acute pancreatitis and local infection recurrence.Gastric leakage occurred 7 d after operation in one patient,and was healed after one month of conservative management.Conclusions Laparoscopic cystogastrostomy through gastric cavity for retrogastric pancreatic pseudocysts is simple and effective,mini-invasive,and it can be an alternative therapeutic method for pancreatic pseudocysts.
