Abstract :
Pseudocysts of pancreas is collection of fluid in the lesser sac enclosed by a
wall of fibrous or granulation tissue as a consequence of acute pancreatitis,
pancreatic trauma or chronic pancreatitis. Invasive drainage procedures are
currently indicated in those patients with symptoms or complications. We
present our experience of 26 cases of pseudocyst of pancreas managed
laparoscopically between Nov-2014 to March-2016 using different
techniques of anastomosis using Vicryl 2-0 continues sutures as well as using
Titanium clips for creating stoma between anterior wall of pancreatic
pseudocyst and posterior wall of stomach. Laparoscopic cysto-gastrostomy
appears to be safe and effective approach for internal drainage of pancreatic
pseudocyst. It also facilitates the debridement of the necrotic tissue from the
cyst cavity. Use of Titanium clips can be an alternative to conventional
sutured cystogastrostomy and stapled cystogastrostomy, as it is less time
consuming, easy to perform and cost effective.
Keyword :
Pseudocyst of Pancreas, Laparoscopic Cystogastrostomy, Titanium Clips.