Journal of Minimal Access Surgery

ORIGINAL ARTICLE
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Year : 2022  |  Volume : 18  |  Issue : 2  |  Page : 181--185

Comparison of surgical outcome between conventional laparoscopic cystogastrostomy method and plication of the edge of anterior gastrotomy in patients with pancreatic pseudocyst: A retrospective study at two tertiary care centres

Prabhas Naik1, Manash Ranjan Sahoo1, Jyotirmay Nayak2 
1 Department of Surgery, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India
2 SCB Medical College and Hospital, Cuttack, Odisha, India

Correspondence Address:
Dr. Manash Ranjan Sahoo
Professor & Head, Department of General Surgery, All India Institute of Medical Sciences, Bhubaneswar - 751 019, Odisha
India

Background: In retro-gastric Pancreatic pseudocyst (PP) Laparoscopic cystogastrostomy (LCG) is an established procedure of drainage. Aims and Objectives: To compare surgical outcome between laparoscopic cysto-gastrostomy conventional method and plication of the edge of anterior gastrotomy in patients of pancreatic pseudocyst. Materials and Methods: Twenty six patients were underwent LCG from 2010-2020 by a single surgeon. Both the conventional LCG group Group-1(Gr-1) and the plication group Group-2 (Gr-2) where plication of edge of anterior gastrostomy was performed, contained 13 patients each. Results: The numbers of male/female in Gr-1 was 9/4 and that in Gr-2 was 10/3 (P = 1). Mean ages of patients were 45.3 ± 10.4 years (range 23-60) in Gr-1 and 48.0 ± 12.3 years (range 27-65) in Gr-2. Etiological factors were alcohol (46.1% in Gr-1, 53.8% in Gr-2), gallstone disease (38.4% in Gr-1,15.3% in Gr-2), trauma (15.3% in each groups), idiopathic cause (15.3% in Gr-2). The cyst size was 9.0 ± 1.5 cm in Gr-1and 8.9 ± 2.1cm in Gr-2. The mean operative time in Gr-1 (107.6 ± 12.5 minutes) was longer than Gr-2 (97 ± 1 3.6 minutes) (P = 0.06). The size of cystogastric anastomosis in Gr-1 was 4.6 ± 0.7 cm and that in Gr-2 was 4 ± 0.8 cm (P = 0.04). The intra-operative blood loss in Gr-1 and Gr-2 were 101.9 ± 21.7ml and 78.4 ± 30.7 ml respectively. There was a significant change in intraoperative blood loss and stoma size in Gr-2. The postoperative complications were managed conservatively. No recurrence over a period of 18 months of follow-up. Conclusion: Plication of edges of anterior gastrostomy result in reduction in operative time, smaller anastomosis without complication and less intra-operative blood loss.


How to cite this article:
Naik P, Sahoo MR, Nayak J. Comparison of surgical outcome between conventional laparoscopic cystogastrostomy method and plication of the edge of anterior gastrotomy in patients with pancreatic pseudocyst: A retrospective study at two tertiary care centres.J Min Access Surg 2022;18:181-185


How to cite this URL:
Naik P, Sahoo MR, Nayak J. Comparison of surgical outcome between conventional laparoscopic cystogastrostomy method and plication of the edge of anterior gastrotomy in patients with pancreatic pseudocyst: A retrospective study at two tertiary care centres. J Min Access Surg [serial online] 2022 [cited 2022 May 16 ];18:181-185
Available from: https://www.journalofmas.com/article.asp?issn=0972-9941;year=2022;volume=18;issue=2;spage=181;epage=185;aulast=Naik;type=0