Abstract

ROJAS R., Daniel; CLAROS B, Nataniel  and  PINILLA L, Ramiro. Laparoscopic cysto gastro anastomosis. Cuad. - Hosp. Clín. [online]. 2018, vol.59, n.2, pp. 44-49. ISSN 1652-6776.

Abstract After the Atlanta Symposium (1992), there's an agreement to define a pancreatic pseudocyst (PPC) as a collection of pancreatic juice, therefore rich in amylase, surrounded by a non-epithelial wall, produced as a consequence of an acute pancreatitis, chronic pancreatitis or pancreatic trauma. It is estimated that it takes at least four weeks for it to constitute the defined wall that distinguishes a PPQ from a fluid collection. Clinical case. We present the case of a 29-year-old patient with a history of acute pancreatitis of biliary etiology. Laparoscopic cholecystectomy was performed once the pancreatitis resolved and was outpatient. 40 days later he presents severe abdominal pain, early satiety and finally intolerance to the oral intake, nausea and vomiting, reasons for readmission. The computed tomography revealed a giant PPC of 19.18 by 19.55 centimeters which was resolved by laparoscopic cysto-gastrostomy with stapler. CONCLUSION: Laparoscopic cysto-gastrostomy is a therapeutic option for the treatment of pancreatic pseudocyst because it offers: continuous drainage, low rate of recurrence and few complications that overecome endoscopio treatment and drainage guided by imaging, with the advantages of minimal invasion.

Keywords : Pancreatic pseudocyst; cysto-gastrostomy; laparoscopy.