Laparoscopic cystogastrotomy by ultrasonic dissection after pylorus-preserving pancreaticoduodectomy

JSLS. 2012 Apr-Jun;16(2):292-5. doi: 10.4293/108680812x13427982377229.

Abstract

Background and objectives: Symptomatic pancreatic pseudocysts can be drained using open, endoscopic, and laparoscopic techniques. Little is written on the role of laparoscopic drainage techniques after major abdominal operations. We describe a case of laparoscopic cystgastrotomy after pancreaticoduodenecomy.

Case report: A 55-year-old female with a prior history of open pylorus-preserving pancreaticoduodenectomy presented with multiple symptomatic pancreatic pseudocysts in the setting of alcohol-induced chronic pancreatitis.

Methods: After preoperative planning with contrast-enhanced computed tomography, the patient successfully underwent laparoscopic cystgastrotomy with ultrasonic dissection.

Conclusion: This case report illustrates that laparoscopic cystenteric drainage of pancreatic pseudocysts can be performed safely after major open abdominal operations. Further investigation is needed.

Publication types

  • Case Reports

MeSH terms

  • Dissection / methods*
  • Female
  • Humans
  • Laparoscopy*
  • Middle Aged
  • Pancreatic Pseudocyst / surgery*
  • Pancreaticoduodenectomy* / methods
  • Pylorus
  • Tomography, X-Ray Computed
  • Ultrasonic Therapy / methods*