Transduodenal drainage of hard-to-reach pancreatic pseudocyst under endosonography control

Abstract

The aim of the investigation was to demonstrate the possibility of modern technology of endoscopic drainage of difficultly accessible pancreatic pseudocyst of complex configuration using endosonography.Material and methods: a patient with a long history of recurrent chronic pancreatitis and a pseudocyst of complex configuration and anatomical location formed on this background was subjected to internal drainage of postnecrotic cyst under the control of endosonography in November 2020.Result: The surgical intervention and postoperative period were without complications. Control CT scan of the abdominal cavity organs after 3 months showed complete reduction and disappearance of the cyst. The follow-up period up to the present time is 5 months. The patient had no complaints at the moment.Conclusion: this clinical observation demonstrates the advantages of minimally invasive intraluminal transduodenal access. The used access permitted to perform surgery in maximum organ preserving variant with the best functional result.