Laparoscopic cystgastrostomy: A Pakistani perspective

Laparoscopic pancreatic pseudocyst (pp) surgery can be performed via anterior or posterior cystogastrostomy, endoscopy-assisted surgery and cystojejunostomy. we conducted a prospective analysis of our patients undergoing laparoscopic cystogastrostomy to analyse the merits and demerits of the procedure. in a period of 3 years from january 2010 to december 2012 all the patients who underwent laparoscopic drainage of pancreatic pseudocysts were prospectively analysed. a total of 12 patients underwent a transgastric anterior cystogastrostomy with a stoma size of 4.5cms. there was no intraoperative or postoperative bleeding or leakage on anastomotic lines. post-op pain score on the first post-op day was 4 (2-5) on the visual analogue scale (vas). average hospital stay was 4.1±2.3 days. all patients had complete resolution of symptoms on follow-up. followup computed tomography (ct) scans on 8 patients showed complete resolution of the cysts. laparoscopic cystogastrostomy is a safe and feasible method and provides efficient drainage of pp.