Laparoscopic Drainage of Pancreatic Pseudocysts
Filip Eugen Târcoveanu*, Alin Vasilescu, Costel Bradea and Cristian Lupașcu
Department of Surgery, First Surgical Unit, “Gr.T. Popa” University of Medicine and Pharmacy Iași, “St. Spiridon” Hospital Iași, Romania
- *Corresponding Author:
- Filip Eugen Târcoveanu
First Surgical Unit
“St. Spiridon” Hospital Iași
Independentei Street No 1
700111, Iași, Romania
Tel/Fax: +40 (0) 232 218 272
E-mail: [email protected]
Received Date: August 24, 2015; Accepted Date: September 15, 2015; Published Date: September 22, 2015
Citation: Târcoveanu FE, Vasilescu A, Bradea C, Lupașcu C. Laparoscopic Drainage of Pancreatic Pseudocysts. Journal of Surgery [Jurnalul de chirurgie]. 2015; 11(3): 121-124 DOI:10.7438/1584-9341-11-3-8 [article in Romanian]
Copyright: © 2015 Târcoveanu FE, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Pancreatic pseudocyst is a complication of acute or chronic pancreatitis. The invasive treatment (surgical or endoscopic) is recommended if the pseudocyst persisted for more than 6 weeks after the diagnosis and if the size is larger than 6 cm and is symptomatic. The laparoscopic techniques have been developed to provide the patient with the benefits of a minimal access alternative. The aim of this article is to analyze the postoperative results of the pancreatic pseudocyst laparoscopic surgery. We have accomplished a restrospective study using clinical and para-clinical test results and postoperative results from the patients who have been treated with laparoscopic drainage. We reported a case of a large symptomatic pseudocyst after an attack of gallstone pancreatitis. Laparoscopic cholecystectomy and extern drainage have been performed at the same time with good postoperative results. Starting with year 2000 until year 2015, 85 patients, diagnosed with pancreatic pseudocyst, have been treated in the First Surgical Clinic, University Hospital Saint Spiridon Iasi. From which only 8 have been treated with laparoscopic drainage, encountering no mortality and morbidity. Postoperative hospital stay was 9,41 days. The postoperative drainage duration was between 5 and 21 days with a mean of 7 days. Late postoperative results were good in 6 patients and mediocre in the 2 patients. Conclusion: The laparoscopic technique has all the benefits of the minimal invasive approach. Better postoperative results were seen in cysto-digestive anastomosis using a Endo GIA stapler.