Endoscopic and laparoscopic operations in the treatment of patients with pancreatic cysts
EAES Academy. Grubnik Y. 07/05/22; 363078; P123
Prof. Dr. Yuri Grubnik
Contributions
Contributions
Abstract
Aim
Reducing mortality and postoperative complications by performing endoscopic and laparoscopic operations.
Methods and materials
Over the past 3 years, we operated endoscopically 18 patients with pancreatic cysts. All patients underwent CT and ultrasound endoscopic examinations. In 10 cases were found cysts of the tail of the pancreas close to stomach. Patients was performed video endoscopic surgery - gastrocystostomy, with the introduction of a tubular drainage into the lumen of the cyst. In 5 cases, the cyst was located in the area of the pancreas body. In 3 cases, the cyst was located in the area of the pancreatic head, which required duodenocystostomy.
Biopsy was performed in all patients with pancreatic cysts, followed by histological examination.
Results
Out of 18 patients, in 2 cases postoperative bleeding was observed, which required repeated endoscopy and local endoscopic hemostasis of the bleeding area, which in 1 case was ineffective and required a laparoscopic gastrotomy with coagulation and suturing of the bleeding area, followed by suturing of the stomach.
In 1 case, cystoadenocarcinoma of the pancreatic tail cyst was detected.
A laparoscopic pancreatic tail resection was performed. There were no lethal cases.
Conclusions:
Endoscopic internal drainage of pancreatic cysts is an effective operation and it shortens the period of hospitalization of patients.
Reducing mortality and postoperative complications by performing endoscopic and laparoscopic operations.
Methods and materials
Over the past 3 years, we operated endoscopically 18 patients with pancreatic cysts. All patients underwent CT and ultrasound endoscopic examinations. In 10 cases were found cysts of the tail of the pancreas close to stomach. Patients was performed video endoscopic surgery - gastrocystostomy, with the introduction of a tubular drainage into the lumen of the cyst. In 5 cases, the cyst was located in the area of the pancreas body. In 3 cases, the cyst was located in the area of the pancreatic head, which required duodenocystostomy.
Biopsy was performed in all patients with pancreatic cysts, followed by histological examination.
Results
Out of 18 patients, in 2 cases postoperative bleeding was observed, which required repeated endoscopy and local endoscopic hemostasis of the bleeding area, which in 1 case was ineffective and required a laparoscopic gastrotomy with coagulation and suturing of the bleeding area, followed by suturing of the stomach.
In 1 case, cystoadenocarcinoma of the pancreatic tail cyst was detected.
A laparoscopic pancreatic tail resection was performed. There were no lethal cases.
Conclusions:
Endoscopic internal drainage of pancreatic cysts is an effective operation and it shortens the period of hospitalization of patients.
Aim
Reducing mortality and postoperative complications by performing endoscopic and laparoscopic operations.
Methods and materials
Over the past 3 years, we operated endoscopically 18 patients with pancreatic cysts. All patients underwent CT and ultrasound endoscopic examinations. In 10 cases were found cysts of the tail of the pancreas close to stomach. Patients was performed video endoscopic surgery - gastrocystostomy, with the introduction of a tubular drainage into the lumen of the cyst. In 5 cases, the cyst was located in the area of the pancreas body. In 3 cases, the cyst was located in the area of the pancreatic head, which required duodenocystostomy.
Biopsy was performed in all patients with pancreatic cysts, followed by histological examination.
Results
Out of 18 patients, in 2 cases postoperative bleeding was observed, which required repeated endoscopy and local endoscopic hemostasis of the bleeding area, which in 1 case was ineffective and required a laparoscopic gastrotomy with coagulation and suturing of the bleeding area, followed by suturing of the stomach.
In 1 case, cystoadenocarcinoma of the pancreatic tail cyst was detected.
A laparoscopic pancreatic tail resection was performed. There were no lethal cases.
Conclusions:
Endoscopic internal drainage of pancreatic cysts is an effective operation and it shortens the period of hospitalization of patients.
Reducing mortality and postoperative complications by performing endoscopic and laparoscopic operations.
Methods and materials
Over the past 3 years, we operated endoscopically 18 patients with pancreatic cysts. All patients underwent CT and ultrasound endoscopic examinations. In 10 cases were found cysts of the tail of the pancreas close to stomach. Patients was performed video endoscopic surgery - gastrocystostomy, with the introduction of a tubular drainage into the lumen of the cyst. In 5 cases, the cyst was located in the area of the pancreas body. In 3 cases, the cyst was located in the area of the pancreatic head, which required duodenocystostomy.
Biopsy was performed in all patients with pancreatic cysts, followed by histological examination.
Results
Out of 18 patients, in 2 cases postoperative bleeding was observed, which required repeated endoscopy and local endoscopic hemostasis of the bleeding area, which in 1 case was ineffective and required a laparoscopic gastrotomy with coagulation and suturing of the bleeding area, followed by suturing of the stomach.
In 1 case, cystoadenocarcinoma of the pancreatic tail cyst was detected.
A laparoscopic pancreatic tail resection was performed. There were no lethal cases.
Conclusions:
Endoscopic internal drainage of pancreatic cysts is an effective operation and it shortens the period of hospitalization of patients.
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