LAPAROSCOPIC CYSTOGASTROSTOMY IN A GIANT PANCREATIC PSEUDOCYSTS: A CLINICAL CASE
A 55-year-old woman with a history of acute pancreatitis was hospitalized with a diagnosis of pancreatic pseudocyst. Ultrasonography, computed tomography, and magnetic resonance imaging all demonstrated a homogeneous large cyst, 16,5 x 8,4 cm in size, at the corpus and tail of the pancreas without mural nodules or septa. Because an intestinal structure was identified between the cyst and stomach preoperatively by computed tomography and endoscopic ultrasonography, laparoscopic cystogastrostomy was carried out instead of percutaneous or endoscopic cyst drainage. The cyst was exposed by dissecting the gastrocolic ligament and found to have no adhesion to the surrounding tissues and organs. Debriedment and single layer running suture anastomosis was performed totally laparoscopically. The postoperative course was uneventful. Laparoscopic surgery is recommended as a safe, reliable, and minimally invasive treatment for managing of pancreatic pseudocysts.