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Laparoscopic management of pancreatic pseudocyst: Our experience in 27 cases

Shukladhan Suresh Rode, Mahesh Dilip Birajdar, Shrikrishna Motiram Nagargoje, Kartik Chandrakant Gupta.

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Introduction: Pseudocyst of the pancreas is the most common cystic lesion seen in the pancreas. Operative intervention is associated with recurrence & post-operative morbidity. We aim to study the epidemiology, clinical feature & efficacy of the laparoscopic approach in the management of chronic pancreatic pseudocyst. Material & methods: 27 patients with PP were managed with a laparoscopic approach & studied over a period of 3 years to include demographic data & efficacy of laparoscopy in terms of morbidity & mortality. Results: A total of 27 patients with a mean age of 39.8 years with male preponderance. Epigastric pain (88%) was their chief complaint with alcohol as a common aetiology in 81.4% of the patients. 77.7% of patients underwent LCG with a mean operative time of 110 minutes, mean cyst size of 10.2 cm, 5.2 days of hospital day, the complication rate was 11.1%, pain relief in 84% & weight gain in 87% of patients. 22.2% of patients underwent LCJ with a mean time of 154 minutes, mean size of cyst was 9.7 cm, hospital stay of 6.9 days, a complication of 3.7 %, pain relief in 91% & weight gain in 88% of patients. The overall complication rate was 11.8%. None of the patient-reported recurrence. Conclusion: Management of pancreatic pseudocyst via laparoscopic approach is a feasible option in experienced hands & should be considered in order to reduce post-operative complications, hospital stay & overall morbidity of patients.

Key words: chronic pancreatitis, pseudocyst, laparoscopy, complications

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