Robotic retrogastric cystogastrostomy for pancreatic pseudocyst – A video vignette

AbstractPancreatic pseudocysts (PPC) may arise in up to 20% of cases of acute pancreatitis and in up to 40% of chronic pancreatitis. [1] Chronic alcohol ‐induced pancreatitis is the most common cause of PPCs, followed by chronic gallstone pancreatitis. Even though 65% of PPC cases resolve spontaneously, persistent cases may require endoscopic or surgical treatment. [2] Nowadays, endoscopic ultrasound‐guided cystogastrostomy with a stent is a com mon procedure with growing acceptance which continues to demonstrate effectiveness. [3] Alternatively, a trans‐gastric cystogastrostomy as a surgical approach for PPC can be performed through open laparotomy, laparoscopic approach, [4] or robotic assistance. [5] To the best of our knowledge, robot ic retrogastric cystogastrostomy, which does not involve anterior gastrostomy, has not been previously reported.An advantage of a retrogastric compared to a ventral approach is that only a single opening of the stomach is needed, which also improves the view of the operation field. Although robotic cystogastrostomy requires anesthesia and may entail increased costs, endoscopic cystogastrostomy with stent is associated with 12% adverse events. [3] Hence, this procedure may be considered as a simultaneous intervention in patients requiring additional procedures such as cholecystectomy.
Source: Journal of Hepato-Biliary-Pancreatic Sciences - Category: Gastroenterology Authors: Tags: HOW I DO IT Source Type: research