Laparoscopic Transgastric Cystogastrostomy in a 10-Year-Old Child

Abstract

Abstract Introduction: Pancreatic pseudocysts are uncommonly seen in children.1 Trauma, most often injury by a cycle handle bar2–4 accounts for about 60%2 of these pseudocysts. Pancreatic pseudocysts are treated by internal drainage—either surgical (cystogastrostomy, cystojejunostomy) or endoscopically with stenting.5 Laparoscopic cystogastrostomy is safe and effective in the treatment of pediatric pancreatic pseudocysts and are performed by intragastric2,6 or transgastric routes.7 We report the technique of a successful laparoscopic transgastric cystogastrostomy in a 10-year-old boy with a post-traumatic pancreatic pseudocyst. Materials and Methods: This 10-year-old boy presented with a large lump in the upper abdomen. He had received treatment for traumatic pancreatitis sustained by a bicycle handle bar injury 2 months ago. A contrast CT abdomen revealed a 12×8-cm retrogastric pseudocyst of the pancreas. Operative Technique: The child was placed in a supine position after general anesthesia. A 10 F naso...