Revista Mexicana de Cirugía Endoscópica

Contents by Year, Volume and Issue

Table of Contents

General Information

Instructions for Authors

Message to Editor

Editorial Board

>Journals >Revista Mexicana de Cirugía Endoscópica >Year 2005, Issue 2

Gámez GR, Alustiza VJI, Rodríguez WE, Berdeal FE
Cystojejunoanastomosis in Y Roux and laparoscopic cholecystectomy for treatment of pancreatic pseudocyst, a case report
Rev Mex Cir Endoscop 2005; 6 (2)

Language: Español
References: 22
Page: 90-95
PDF: 180.59 Kb.

Full text


Background: The pancreatic pseudocyst represents the 75% of pancreatic cysts. It has been proposed several techniques for the treatment with controversial results and still with experimental perspectives: both endoscopic and laparoscopic. When a pancreatic pseudocyst has no symptoms and it is not complicated spontaneous resolution is expected, however, when it is chronic is more difficult its resolution, in this case the internal drainage is the treatment of choice. Methods: The presentation of case report of a 64 year old patient with pancreatic pseudocyst secondary to biliary pancreatitis with a successful laparoscopic cystojejunal anastomosis on a Roux-en-Y loop and cholecystectomy. It is obtained satisfactory result clinic and technical. Hospital stay of 7 days: having partial intravenous nutritional support and levofloxacine as prophylaxis. Discharge by improve. Follow up during 6 months with no symptoms and the control CT scan was normal. Conclusion: The lack of prospective and comparative studies related to the treatment of PP has permitted different proposes, we reproduce the effectiveness of laparoscopic Y Roux cystojejunoanastomosis and cholecystectomy in the treatment of PP; nowadays a better experience and the technological support make possible to integrate the preop planning with more efficacy doing bigger the horizon of the laparoscopy.

Key words: Pancreatic pseudocyst, laparoscopy, cystojejunal anastomosis, cholecystectomy.


  1. Tevar AD. Surgery review illustrated. McGraw-Hill Specialty Board Review. International Ed, New York 2005: 741.

  2. Baillie J. Pancreatic pseudocysts, Part I. Gastrointestinal Endoscopy 2004; 59: 873-879.

  3. Baker RJ. El dominio de la cirugía. Vol. II. Panamericana, 4 ed, Buenos Aires 2004: 1539.

  4. Andren-Sandberg A, Dervenis C. Pancreatic pseudocysts in the 21st century. Part I: classification, pathophysiology, anatomic considerations and therapy. JOP 2004; 5: 8-24.

  5. Spivak H et al. Management of Pancreatic Pseudocysts. J Am Coll Surg 1998; 186: 507-511.

  6. Meyer-Burg J. Zur supragastralen pankeskopic. Ergebnisse aus 125 laparoskopien. Dtsch Med Wochenschr 1972; 97: 1969-1971.

  7. Cuschieri A et al. Value of laparoscopy in the diagnosis and management of pancreatic cancer. Gut 1978; 19: 672-677.

  8. Ishida H. Peritoneoscopy and pancreas biopsy in the diagnosis of pancreatic cancer. Gastrointes Endos 1983; 29: 211-218.

  9. Park A et al. Laparoscopic Pancreatic Surgery. Am J Surg 1999; 177: 158-163.

  10. Grace PA, Williamson RCN. Modern management of pancreatic pseudocysts. Br J Surg 1993; 80: 573-581.

  11. Mouiel J, Craffa F. Pancreatic cyst treated by cystojejunal anastomosis on a Roux-en-Y loop. Surg Endosc 1995; 9: 625.

  12. Way LW, Legha P, Mori T. Laparoscopic pancreatic cystogastrostomy: the first operation in the new field of intraluminal laparoscopic surgery. Surg Endosc 1994; 8: 235.

  13. Meltzer RC, Amaral JF. Laparoscopic pancreatic cystogastrostomy. Min Invas Ther 1994; 3: 289-294.

  14. Yeo LJ, Sarr MG. Cystic and pseudocystic diseases of the pancreas. Curr Probl Surg 1994; 31: 167-243.

  15. Kaban GK et al. Pancreatic Pseudocyst Drainage. Operative Techniques in General Surgery 2004; 6(1): 55-62.

  16. Hauters P, Weerts J. Traitement des pseudokystes du pancreas par kystogastrostomie laparoscopique. Annales de Chirurgie 2004; 129: 347-352.

  17. Andren-Sanberg A, Dervenis C. Pancreatic pseudocysts in the 21st century. Part I: classification, pathophysiology, anatomic considerations and therapy. JOP 2004; 5: 8-24.

  18. Bradley EL et al. The natural history of pancreatic pseudocysts: a unified concept of management. Am J Surg 1979; 137: 135-141.

  19. Maringhini A et al. Pseudocysts in acute non alcoholic pancreatitis: incidence and natural history. Dig Dis Sci 1999; 44: 1669-1673.

  20. Baillie J. Pancreatic pseudocysts, Part II. Gastrointestinal Endoscopy 2004; 60(1): 105-113.

  21. Morton et al. A national comparison of surgical versus percutaneous drainage of pancreatic pseudocysts 1997-2001. Journal of Gastrointestinal Surgery 2005; 9(1): 15-20.

  22. Yamashita K. Three-dimensional images of pancreatic pseudocyst prior to percutaneous drainage. The American Journal of Surgery 2003; 185: 219-220.

>Journals >Revista Mexicana de Cirugía Endoscópica >Year 2005, Issue 2

· Journal Index 
· Links 

Copyright 2019