Faruk Medical City, Iraq
Scientific Tracks Abstracts: J Clin Gastroenterol Hepatol
Background: Pancreatic pseudocysts are the most common complications of acute and chronic pancreatitis. Almost half resolve spontaneously, and the rest require surgical intervention if symptomatic or complicated. Options for surgical intervention are open surgery, laparoscopic minimally invasive, still there is an option for endoscopic or ultrasonic guided drainage. Here three cases of pancreatic pseudocyst are presented and managed totally by laparoscopic gastropancreatic cystostomy (LGPC). Cases Summary: Three cases of huge pseudocyst of pancreas are presented with nearly similar story and different age group (two old and one young), all of them are a complication of microlithiasis of gallbladder stones. Patients were subjected to complete blood and biochemical investigations. Ultrasonography was supported by CT scan of abdomen to identify the relation to the gastric wall. All were preoperatively prepared and subjected to laparoscopic stapling posterior gastro-cystostomy. Postoperative period was uneventful and patients followed for 3 months to 2 years with desirable resolution. Conclusions: Laparoscopic gastro-pancreatic cystostomy (LGPC) is a minimally invasive procedure prove to be excellent in drainage and resolution of pseudocyst of pancreas. No complications nor recurrence encountered in this small series study and few complications and low recurrence are mentioned in literatures. So, we advise to have a large number of similar cases to conclude it as the best minimally invasive procedure for the management of pseudocyst of pancreas.
Nezar Al-Mahfooz is a Board Certified General Surgeon from the Council of Arab Board Surgery (CABS) 1992. He is Senior Consultant General, GIT, Bariatric and Metabolic Surgeon at Faruk Medical City, Sulaymania, Leader & Director MIS surgery of Almowasat private hospital, Basrah (Iraq). He has pioneered the advanced laparoscopic and bariatric surgery in Iraq for the last 14 years. He has to his credit many international and regional memberships: Member Society of American Gastrointestinal and Endoscopic Surgeons (SAGES), Fellow of American College of Surgeons (FACS), Fellow of American Society for Metabolic and Bariatric Surgery (ASMBS); Member of the International Federation of Obesity Surgery (IFSO), Society of Laparoscopic Surgery (SLS), Egyptian and Arab Societies of Laparoscopic Surgery (ESLS) & (ASLS); Establishing Member of Iraqi Society of Metabolic and Bariatric Surgery (ISMBS). He has more than 21 published articles on general minimally invasive surgery and has introduce many novel minimally invasive surgical techniques in Iraq.