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ORIGINAL ARTICLE
Year : 2018  |  Volume : 37  |  Issue : 4  |  Page : 549-555

Laparoscopic anterior cystogastrostomy


Department of General Surgery, Faculty of Medicine, Minia University, Minia, Egypt

Correspondence Address:
Amr Abd El-Hameed El Heeny
Department of General Surgery, Faculty of Medicine, Minia University, Minia 61511
Egypt
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ejs.ejs_83_18

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Aim This study aims to evaluate feasibility, advantages, disadvantages, and outcome of anterior approach of laparoscopic cystogastrostomy in treatment of pancreatic pseudocyst (PP) in Minia University Hospital. Patients and methods This prospective study included consecutive patients with PP who were admitted to the Department of General Surgery, Minia University Hospital, between January 2017 and January 2018. All of them were operated upon using laparoscopic anterior approach cystogastrostomy. Results This prospective study was conducted in El-Minia University Hospital after being approved by the faculty ethical committee. This study included 15 patients with nine (60%) male patients and six (40%) female patients, and their age ranged from 14 to 61 years, with mean±SD of 39±13.27). The operative time ranged from 58 to 88 min, with mean of 74 min. The intraoperative blood loss ranged from 100 to 700 ml with mean of 285 ml. Overall, two cases were converted to open surgery. The mean hospital stay after surgery for all patients was 9 days. One patient developed postoperative pain and vomiting (6.6%) and another patient developed postoperative pancreatitis (6.6%). Conclusion Laparoscopic anterior approach cystogastrostomy is an effective safe approach for management of PP with little complications.


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