Abstract
Management options for pancreatic pseudocyst are numerous and include endoscopic and surgical approaches. Much debate exists regarding which of these approaches is superior and when each is most appropriate. While endoscopy offers less post-procedural pain, shorter length of stay, and fewer complications, laparoscopic surgical approaches are more suitable for pseudocysts whose locations or other characteristics present significant technical challenge or are otherwise unamenable to endoscopic drainage. Endoscopic management should be attempted when technically feasible, and a laparoscopic approach should be employed when endoscopic drainage would be technically difficult or in symptom recurrence following initial endoscopic management.
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References
Varadarajulu S, Bang JY, Sutton BS, Trevino JM, Christein JD, Wilcox CM. Equal efficacy of endoscopic and surgical cystogastrostomy for pancreatic pseudocyst drainage in a randomized trial. Gastroenterology. 2013;145(3):583–90.
Melman L, Azar R, Beddow K, Brunt LM, Halpin VJ, Eagon JC, Frisella MM, Edmundowicz S, Jonnalagadda S, Matthews BD. Primary and overall success rates for clinical outcomes after laparoscopic, endoscopic, and open pancreatic cystgastrostomy for pancreatic pseudocysts. Surg Endosc. 2009;23(2):267–71.
Nealon WH, Walser E. Surgical management of complications associated with percutaneous and/or endoscopic management of pseudocyst of the pancreas. Ann Surg. 2005;241(6):948–57.
Palanivelu C, Senthilkumar K, Madhankumar MV, Rajan PS, Shetty AR, Jani K, Rangarajan M, Maheshkumaar GS. Management of pancreatic pseudocyst in the era of laparoscopic surgery – experience from a tertiary centre. Surg Endosc. 2007;21(12):2262–7.
Dávila-Cervantes A, Gómez F, Chan C, Bezaury P, Robles-DÃaz G, Uscanga LF, Herrera MF. Laparoscopic drainage of pancreatic pseudocysts. Surg Endosc. 2004;18(10):1420–6.
Hauters P, Weerts J, Navez B, Champault G, Peillon C, Totte E, Barthelemy R, Siriser F. Laparoscopic treatment of pancreatic pseudocysts. Surg Endosc. 2004;18(11):1645–8.
Hindmarsh A, Lewis MPN, Rhodes M. Stapled laparoscopic cystgastrostomy: a series with 15 cases. Surg Endosc. 2005;19(1):143–7.
Barragan B, Love L, Wachtel M, Griswold JA, Frezza EE. A comparison of anterior and posterior approaches for the surgical treatment of pancreatic pseudocyst using laparoscopic cystogastrostomy. J Laparoendosc Adv Surg Tech A. 2005;15(6):596–600.
Oida T, Mimatsu K, Kawasaki A, Kano H, Kuboi Y, Aramaki O, Amano S. Long-term outcome of laparoscopic cystogastrostomy performed using a posterior approach with a stapling device. Dig Surg. 2009;26(2):110–4.
Weckman L, Kylänpää M-L, Puolakkainen P, Halttunen J. Endoscopic treatment of pancreatic pseudocysts. Surg Endosc. 2006;20(4):603–7.
Varadarajulu S, Bang JY, Phadnis MA, Christein JD, Wilcox CM. Endoscopic transmural drainage of peripancreatic fluid collections: outcomes and predictors of treatment success in 211 consecutive patients. J Gastrointest Surg. 2011;15(11):2080–8.
Sharma SS, Bhargawa N, Govil A. Endoscopic management of pancreatic pseudocyst: a long-term follow-up. Endoscopy. 2002;34(3):203–7.
Baron TH, Harewood GC, Morgan DE, Yates MR. Outcome differences after endoscopic drainage of pancreatic necrosis, acute pancreatic pseudocysts, and chronic pancreatic pseudocysts. Gastrointest Endosc. 2002;56(1):7–17.
Will U, Wegener C, Graf K-I, Wanzar I, Manger T, Meyer F. Differential treatment and early outcome in the interventional endoscopic management of pancreatic pseudocysts in 27 patients. World J Gastroenterol. 2006;12(26):4175–8.
Kahaleh M, Shami VM, Conaway MR, Tokar J, Rockoff T, La Rue De SA, de Lange E, Bassignani M, Gay S, Adams RB, Yeaton P. Endoscopic ultrasound drainage of pancreatic pseudocyst: a prospective comparison with conventional endoscopic drainage. Endoscopy. 2006;38(4):355–9.
Varadarajulu S, Christein JD, Tamhane A, Drelichman ER, Wilcox CM. Prospective randomized trial comparing EUS and EGD for transmural drainage of pancreatic pseudocysts (with videos). Gastrointest Endosc. 2008;68(6):1102–11.
Sharma SS, Maharshi S. Endoscopic management of pancreatic pseudocyst in children-a long-term follow-up. J Pediatr Surg. 2008;43(9):1636–9.
Park DH, Lee SS, Moon S-H, Choi SY, Jung SW, Seo DW, Lee SK, Kim M-H. Endoscopic ultrasound-guided versus conventional transmural drainage for pancreatic pseudocysts: a prospective randomized trial. Endoscopy. 2009;41(10):842–8.
Will U, Wanzar C, Gerlach R, Meyer F. Interventional ultrasound-guided procedures in pancreatic pseudocysts, abscesses and infected necroses – treatment algorithm in a large single-center study. Ultraschall Med. 2011;32(2):176–83.
Seewald S, Ang TL, Richter H, Teng KYK, Zhong Y, Groth S, Omar S, Soehendra N. Long-term results after endoscopic drainage and necrosectomy of symptomatic pancreatic fluid collections. Dig Endosc. 2012;24(1):36–41.
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Ferguson, B.D., Prachand, V.N. (2016). Management of Symptomatic Pancreatic Pseudocyst. In: Millis, J., Matthews, J. (eds) Difficult Decisions in Hepatobiliary and Pancreatic Surgery. Difficult Decisions in Surgery: An Evidence-Based Approach. Springer, Cham. https://doi.org/10.1007/978-3-319-27365-5_38
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DOI: https://doi.org/10.1007/978-3-319-27365-5_38
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