Abstract
Background: Pancreatic pseudocysts are complications of pancreatitis. Most resolve spontaneously. Indications for intervention include the presence of symptoms (pain) or complications (such as gastric outlet obstruction, hemorrhage, or infection). Endoscopic drainage/debridement is our preferred approach when feasible. Other techniques include percutaneous drainage and surgical (open vs minimally invasive approach). We reserve surgical intervention for cases of failed endoscopic debridement, patients with anatomy not conducive to an endoscopic approach, or those with extensive necrosis requiring multiple endoscopic debridements. Here we describe our technique of robotic-assisted cyst gastrostomy “keyhole technique”
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