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KMID : 0371320070730010083
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Journal of the Korean Surgical Society
2007 Volume.73 No. 1 p.83 ~ p.86
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Laparoscopic Cystogastrostomy for the Patient of Pancreatic Pseudocyst with Intra-abdominal Adhesion
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Nam Yu-Hee
Kim Min-Hyung
Chung Huk-Jun
Sung Ki-Young
Park Il-Young
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Abstract
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A large symptomatic and unresolved pancreatic pseudocyst is treated surgically by internal drainage to a neighboring adherent viscus. Recently the various minimal invasive approaches have been used to treat this condition. A 30-
year-old man who had been in clinical follow-up for a chronic pancreatitis. For the necrotizing pancreatitis, the patient had
undergone surgical debridement and external drainage 5 years, and 3 years ago, respectively. Abdominal ultrasonography
and computed tomography revealed 8.2×7.7 cm sized pseudocyst in the body of pancreas. Endoscopic internal
fistula formation was tried, but it was failed due to bleeding. We underwent adhesiotomy and cystogastrostomy
totally with laparoscopic techniques. The patient started a diet on the 5th postoperative day and discharged on the 11th
postoperative day. There was no postoperative complicationand no recurrence during 6 months. Laparoscopic cystogastrostomy is safe and feasible method in the pancreatic pseudocyst even in case of severe abdominal adhesion.
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KEYWORD
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Pancreatic pseudocyst, Laparoscopic cystogastrostomy, Intra-abdomnl adhesion
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