engleski

Laparoscopic surgery of pancreatic pseudocyst: A case report.

The incidence of pancreatic pseudocysts on acute billiar pancreatitis is between 2 and 10%. Almost it is serious complication. We report a case of pancreatic pseudocyst that was treated successfully by laparoscopic surgery. A 44-year- old woman with a history of acute biliar pancreatitis was admitted in our hospital. Pseudocyst size 12x8 cm was located in the pancreas body and was discovered by either ultrasonography and computer tomography. It was associated with several abdominal pain, nausea, vomiting, bloating and other nonspecific symptoms. After conservative treatment for acute pancreatitis, laparoscopic cystogastrostoma was performed out. An incision was made through the anterior gastric wall to exposure the posterior gastric wall in close contact with the pseudocyst using an ultrasonicaly activated scalpel. The fluid contents was aspirated and examinated for pathological analysis along with a portion of the pseudocyst wall. Cystogastrostoma was performed with endoscopical linear stapler. The anterior gastrostomy was closed by sutures. The patient recovered well after operation. Laparoscopic cystogastrostomy is the best choice for treatment pancreatic pseudocyst.

Pseudocyst ; pancreatic ; laparoscopic surgery

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