Abstract
Pancreatic pseudocysts are generally treated by endoscopic cystogastrostomy. However, difficult cases involving abscess, necrosis, or risk of hemorrhage often require surgical intervention. Here, we report a case of a robotically assisted cystogastrostomy. The patient presented with an infected pseudocyst with adjacent varices. Use of the da Vinci Surgical System allowed us to create a widely patent anastomosis between the pseudocyst and the stomach. The patient tolerated the procedure well without any complications. This report demonstrates the feasibility of robotic cystogastrostomy.
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References
Chen J, Fukami N, Li Z (2012) Endoscopic approach to pancreatic pseudocyst, abscess and necrosis: review on recent progress. Dig Endosc 24:299–308. doi:10.1111/j.1443-1661.2012.01298.x
Fabbri C, Luigiano C, Maimone A et al (2012) Endoscopic ultrasound-guided drainage of pancreatic fluid collections. World J Gastrointest Endosc 4:479–488. doi:10.4253/wjge.v4.i11.479
Gumbs AA (2010) Video: laparoscopic anterior cystogastrostomy. Surg Laparosc Endosc Percutan Tech 20:e97–e98. doi:10.1097/SLE.0b013e3181cea6dc
Vitas GJ, Sarr MG (1992) Selected management of pancreatic pseudocysts: operative versus expectant management. Surgery 111:123–130
Yeo CJ, Bastidas JA, Lynch-Nyhan A et al (1990) The natural history of pancreatic pseudocysts documented by computed tomography. Surg Gynecol Obstet 170:411–417
Cannon JW, Callery MP, Vollmer CM (2009) Diagnosis and management of pancreatic pseudocysts: what is the evidence? J Am Coll Surg 209:385–393. doi:10.1016/j.jamcollsurg.2009.04.017
Krishnan A, Ramakrishnan R (2012) EUS-guided endoscopic necrosectomy and temporary cystogastrostomy for infected pancreatic necrosis with self-expanding metallic stents. Surg Laparosc Endosc Percutan Tech 22:e319–e321. doi:10.1097/SLE.0b013e3182657e03
Iwashita T, Lee J, Nakai Y et al (2012) Successful management of arterial bleeding complicating endoscopic ultrasound-guided cystogastrostomy using a covered metallic stent. Endoscopy 44:E370–E371. doi:10.1055/s-0032-1310067
Barragan B, Love L, Wachtel M et al (2005) A comparison of anterior and posterior approaches for the surgical treatment of pancreatic pseudocyst using laparoscopic cystogastrostomy. J Laparoendosc Adv Surg Tech 15:596–600
Trías M, Targarona EM, Balagué C et al (1995) Intraluminal stapled laparoscopic cystogastrostomy for treatment of pancreatic pseudocyst. Br J Surg 82:403. doi:10.1002/bjs.1800820341
Hamza N, Ammori BJ (2010) Laparoscopic drainage of pancreatic pseudocysts: a methodological approach. J Gastrointest Surg Off J Soc Surg Aliment Tract 14:148–155. doi:10.1007/s11605-009-1048-7
Aljarabah M, Ammori BJ (2007) Laparoscopic and endoscopic approaches for drainage of pancreatic pseudocysts: a systematic review of published series. Surg Endosc 21:1936–1944. doi:10.1007/s00464-007-9515-2
Maeso S, Reza M, Mayol JA et al (2010) Efficacy of the Da Vinci surgical system in abdominal surgery compared with that of laparoscopy. Ann Surg 252:254–262. doi:10.1097/SLA.0b013e3181e6239e
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All authors declare that they have no conflict of interest.
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Written informed consent was obtained from the patient for publication of this Case Report/any accompanying images. A copy of the written consent is available for review by the Editor-in-Chief of this journal.
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Cardenas, A., Abrams, A., Ong, E. et al. Robotic-assisted cystogastrostomy for a patient with a pancreatic pseudocyst. J Robotic Surg 8, 181–184 (2014). https://doi.org/10.1007/s11701-013-0428-x
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DOI: https://doi.org/10.1007/s11701-013-0428-x