Laparoscopic Approach to Pancreatic Pseudocyst: A Case Report

Abstract

Pancreatic Pseudocyst (PP) is a local complication due to rupture of the pancreatic duct in acute or chronic pancreatitis, trauma or obstruction of the pancreatic duct. Acute forms usually resolve spontaneously in more than 40% of cases and chronic forms usually do not disappear and are at higher risk of complications. They can be drained by surgical, laparoscopic, percutaneous and endoscopic methods. Percutaneous drainage may lead to an external pancreatic fistula and is not preferred Endoscopic internal drainage of pseudocysts has been shown to be effective and is less invasive compared to open surgery . We present a 70 year old male with a history of several episodes of acute pancreatitis with subsequent residual pseudocyst. Initially, an EUS-FNA/ERCP is performed with aspiration of the pseudocyst. Due to the subsequent recurrence months later, it was decided to consider a laparoscopic approach, to solve the recurrence, performing a laparoscopic cystogastrostomy. Postoperative period was uneventful and was discharged on the seventh post-intervention day.