Abstract
Background
The goal of this study was to assess the clinical outcome of patients undergoing laparoscopic stapled cystgastrostomy for pancreatic pseudocysts in contact with the posterior wall of the stomach.
Methods
We performed a case note review of all patients who have undergone stapled laparoscopic cystgastrostomy in Norwich, UK. The cystgastrostomy was fashioned through an anterior gastrotomy using a vascular ETS stapling device in all cases.
Results
Fifteen patients have undergone stapled laparoscopic cystgastrostomy. The procedure was completed successfully in 12 patients. Three procedures were converted to open surgery for technical reasons. There were no complications due to bleeding from the cystgastrostomy. Early complications included systemic sepsis (one), bleeding gastric ulcer (one) and pseudocyst recurrence due to partial closure of the cystgastrostomy (two). No late recurrences or other complications have been found at a median follow-up of 37 months.
Conclusion
Stapled laparoscopic cystgastrostomy is a safe and effective procedure for draining pancreatic pseudocysts in contact with the posterior wall of the stomach. The use of a hemostatic stapling device to fashion the cystgastrostomy may reduce the risk of catastrophic hemorrhage from the pseudocyst wall.
Similar content being viewed by others
References
M Barthet J Salael C Bodiou-Bertei et al. (1995) ArticleTitleEndoscopic transpapillary drainage of pancreatic pseudocysts Gastrointest Endosc 42 208–213 Occurrence Handle1:STN:280:BymD1czpvFA%3D Occurrence Handle7498684
IJ Beckingham JE Kringe PC Bornman et al. (1997) ArticleTitleEndoscopic management of pancreatic pseudocysts Br J Surg 84 1638–1645 Occurrence Handle10.1046/j.1365-2168.1997.00561.x Occurrence Handle1:STN:280:DyaK1c7htVSmug%3D%3D Occurrence Handle9448608
EL Bradley AC Gonzalez JL Clements (1976) ArticleTitleAcute pancreatic pseudocysts: incidence and implications Ann Surg 184 734–737 Occurrence Handle1:STN:280:CSiD28vmtFc%3D Occurrence Handle999349
InstitutionalAuthorNameBSG Working Party (1998) ArticleTitleUnited Kingdom guidelines for the management of acute pancreatitis Gut 42 S1–S13
UV Gumaste PB Dave (1991) ArticleTitlePancreatic pseudocyst drainage—the needle or the scalpel? J Clin Gastroenterol 13 500–505 Occurrence Handle1:STN:280:By2D2sflvVc%3D Occurrence Handle1744383
V Gumaste CS Pitchumoni (1996) ArticleTitlePancreatic pseudocyst Gastroenterologist 4 33–43
R Heider A Meyer J Galanko et al. (1999) ArticleTitlePercutaneous drainage of pancreatic pseudocysts as associated with a higher failure rate than surgical treatment in unselected patients Ann Surg 229 781–789 Occurrence Handle10.1097/00000658-199906000-00004 Occurrence Handle1:STN:280:DyaK1M3ptVGmuw%3D%3D Occurrence Handle10363891
RC Meltzer JF Amaral (1999) ArticleTitleLaparoscopic pancreatic cystgastrostomy Minimally Invasive Ther 3 289–294
T Mori N Abe M Sugiyama et al. (2002) ArticleTitleLaparoscopic pancreatic cystgastrostomy J Hepato Pancreat Surg 9 548–554 Occurrence Handle10.1007/s005340200072
RJ Obermeyer WE Fisher JR Salameh et al. (2003) ArticleTitleLaparoscopic pancreatic cystogastrostomy Surg Laparosc Endosc Percutan Tech 13 250–253 Occurrence Handle10.1097/00129689-200308000-00005 Occurrence Handle12960787
A Park R Schwartz V Tanden et al. (1999) ArticleTitleLaparoscopic pancreatic surgery Am J Surg 177 158–163 Occurrence Handle10.1016/S0002-9610(98)00325-0 Occurrence Handle1:STN:280:DyaK1M3hvFamtA%3D%3D Occurrence Handle10204562
AE Park BT Heniford (2002) ArticleTitleTherapeutic laparoscopy of the pancreas Ann Surg 236 149–158 Occurrence Handle10.1097/00000658-200208000-00002 Occurrence Handle12170019
JS Roth AE Park (2001) ArticleTitleLaparoscopic pancreatic cystgastrostomy—the lesser sac technique Surg Laparosc Endosc Percutan Tech 11 201–203 Occurrence Handle10.1097/00019509-200106000-00011 Occurrence Handle1:STN:280:DC%2BD38%2FhvFensQ%3D%3D Occurrence Handle11444753
A Siperstein (2001) ArticleTitleLaparoendoscopic approach to pancreatic pseudocysts Seminars in Laparoscopic Surgery 8 218–222 Occurrence Handle10.1053/slas.2001.28296 Occurrence Handle1:STN:280:DC%2BD3MrktVyktw%3D%3D Occurrence Handle11588773
E VanSonnenberg GR Wittich G Casola et al. (1989) ArticleTitlePercutaneous drainage of infected and non-infected pancreatic pseudocysts: experience in 101 cases Radiology 170 757–761 Occurrence Handle1:STN:280:BiaC38bjsVY%3D Occurrence Handle2644662
LW Way P Legha T Mori (1994) ArticleTitleLaparoscopic pancreatic cystgastrostomy: the first operation in the new field of intraluminal laparoscopic surgery Surg Endosc 8 235
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Hindmarsh, A., Lewis, M.P.N. & Rhodes, M. Stapled laparoscopic cystgastrostomy. Surg Endosc 19, 143–147 (2005). https://doi.org/10.1007/s00464-004-9042-3
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00464-004-9042-3