Abstract
Management of pancreatic pseudocyst requires multidisciplinary planning and nuanced clinical judgment. While open surgical management has long been the mainstay of therapy, laparoscopic and endoscopic approaches have been increasingly adopted in routine practice. Few data from randomized controlled trials exist to compare laparoscopic and endoscopic techniques. Most experienced practitioners agree that the least invasive approach possible is generally preferable, although ultimately management decisions must be individualized for each patient based on specific clinical and anatomic circumstances. Specifically, the location of the pseudocyst in relation to enteral structures that are easily reached by endoscope is critical in determining whether endoscopic drainage is appropriate. To illustrate the complex management decisions and technical aspects, we present and discuss three cases of pancreatic pseudocyst managed by endoscopic, laparoscopic, and open surgical techniques.
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Ferguson, B.D., Matthews, J.B. (2017). Pancreatic Pseudocyst: Operative Versus Endoscopic Approach. In: Pawlik, T., Weber, S., Gamblin, T. (eds) Case-Based Lessons in the Management of Complex Hepato-Pancreato-Biliary Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-50868-9_34
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DOI: https://doi.org/10.1007/978-3-319-50868-9_34
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