Gupta Rahul, Singh Ratendra, Bhandari Anu
Department of Paediatric Surgery, SMS Medical College, Jaipur, Rajasthan, India.
Department of Radiodiagnosis, SMS Medical College, Jaipur, Rajasthan, India.
J Indian Assoc Pediatr Surg. 2024 Jan-Feb;29(1):81-83. doi: 10.4103/jiaps.jiaps_178_23. Epub 2024 Jan 12.
Open cystogastrostomy is the standard treatment for the operative management of pancreatic pseudocysts. We describe our technique of minimally invasive open cystogastrostomy for giant pediatric pancreatic pseudocyst. Preoperative incision marking on the most prominent part of the pseudocyst was done by ultrasound guidance. A transverse incision of approximately 3-4 cm was made, and a minilaparotomy was performed. Stay sutures were applied on the anterior wall of the stomach. The anterior wall was exteriorized; transverse gastrotomy was performed, and superior and inferior flaps were made. Deaver's retractor was placed inside the lumen, and cystogastrostomy was completed. We employed this technique in five male patients without any complications. All patients were allowed clear liquids on postoperative day 4 or 5; and gradually shifted to a soft diet. The mean duration of postoperative stay was 7 days. The size of the scar ranged from 3 to 5 cm. All patients were doing well on follow-up. Our technique of minimally invasive open cystogastrostomy is a viable option for pancreatic pseudocyst in pediatric patients.
开放性囊肿胃造口术是胰腺假性囊肿手术治疗的标准方法。我们描述了我们用于巨大儿童胰腺假性囊肿的微创开放性囊肿胃造口术技术。术前在超声引导下于假性囊肿最突出部位标记切口。做一个约3 - 4厘米的横向切口，进行小切口剖腹术。在胃前壁放置牵引缝线。将胃前壁引出；进行横向胃切开术，并制作上、下皮瓣。将迪弗拉钩放入腔内，完成囊肿胃造口术。我们对5名男性患者采用了该技术，无任何并发症。所有患者在术后第4天或第5天允许进食清流食；并逐渐过渡到软食。术后平均住院时间为7天。瘢痕大小为3至5厘米。所有患者随访情况良好。我们的微创开放性囊肿胃造口术技术是小儿胰腺假性囊肿的一种可行选择。
