Pancreatic pseudocystgastrostomy with a peroral, flexible stapler: human natural orifice transluminal endoscopic surgery anastomoses in 2 patients (with videos) - 23/08/11
Reprint requests: John R. Romanelli, MD, Department of Surgery, S3659, Baystate Medical Center, 759 Chestnut St, Springfield, MA 01199.Springfield, Massachusetts, USA
Abstract |
Background |
Complex, symptomatic pancreatic pseudocysts often must be surgically drained. Natural orifice surgery is an emerging field in which surgical procedures are performed by using an endoluminal approach through an existing body orifice.
Patients and Setting |
Two patients at our institution, an academic, tertiary care center.
Design |
Two patients who underwent a standard, stapled, surgical cystgastrostomy for drainage of a complex, infected pseudocyst by using a flexible stapling device are described. These procedures were performed under endoscopic observation and guidance, all transorally, without the need for laparotomy or laparoscopy.
Results |
Both patients had a technically successful outcome, and both did well after surgery, with only mild chest pain and throat discomfort in one, and no adverse sequelae at all in the other patient. Both patients had complete resolution of their complex, debris-filled pseudocysts at 6 weeks when examined by endoscopy and at 3 months when examined by CT.
Conclusions |
An entirely endoscopic, peroral, stapled pseudocystgastrostomy is feasible and can lead to an excellent outcome. For properly selected patients, this may be an alternative to more traditional types of surgical cystgastrostomy.
El texto completo de este artículo está disponible en PDF.Abbreviations : ICU, IRB, NOTES
Esquema
Vol 68 - N° 5
P. 981-987 - novembre 2008 Regresar al número
Artículo precedente
- Infrared endoscopic system for bleeding-point detection after flushing with indocyanine green solution (with videos)
- Ryu Ishihara, Hiroyasu Iishi, Takashi Kidu, Sachiko Yamamoto, Rika Miyoshi, Takuya Inoue, Yoji Takeuchi, Koji Higashino, Noriya Uedo, Masaharu Tatsuta
- Treatment of a completely obstructed colonic anastomotic stricture by using a prototype forward-array echoendoscope and facilitated by SpyGlass (with videos)
- Mark A. De Lusong, Janak N. Shah, Roy Soetikno, Kenneth F. Binmoeller
Bienvenido a EM-consulte, la referencia de los profesionales de la salud.
El acceso al texto completo de este artículo requiere una suscripción.
¿Ya suscrito a @@106933@@ revista ?