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  • Title: Laparoscopic cystogastrostomy for pancreatic pseudocyst is safe and effective.
    Author: Smadja C, Badawy A, Vons C, Giraud V, Franco D.
    Journal: J Laparoendosc Adv Surg Tech A; 1999 Oct; 9(5):401-3. PubMed ID: 10522534.
    Abstract:
    Between March 1997 and March 1998, three consecutive patients underwent laparoscopic cystogastrostomy for persistent giant retrogastric pancreatic pseudocyst complicating an attack of acute pancreatitis. The mean cyst diameter was 15 +/- 1 cm (range 14-16). The procedure was performed with four trocars. The anterior wall of the stomach was opened longitudinally. The pseudocyst was entered through the posterior wall of the stomach. A cystogastrostomy was created by suturing the margins of the communication by interrupted nonabsorbable sutures. The mean operative time was 123 +/- 15 min, and there were no postoperative complications. The mean postoperative hospital stay was 4 +/- 1 days. Computed tomography demonstrated complete resolution of the pseudocyst. Laparoscopic cystogastrostomy represents a good therapeutic option for persistent retrogastric pancreatic pseudocyst.
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