WORLD JOURNAL OF ADVANCE
HEALTHCARE RESEARCH

*Dr. Vinaya Ambore, Dr. Shraddha Gangawane, Dr. Aditya Marathe, Dr. Nikhil Dhimole, Dr. Gurpreet Singh and Dr. Harshal Padekar

ABSTRACT

Introduction: Pseudocyst of pancreas is a common sequalae of acute pancreatitis and it might require a surgical intervention for its management. Depending on the site of pseudocyst, various surgical procedures can be performed, cystogastrostomy by both open and laparoscopic approach being one of them. In this series, we aim to compare the efficacy and outcomes of open cystogastrostomy (OCG) and laparoscopic cystogastrostomy (LCG). Materials and Methods: A prospective observational comparative study was designed and carried out over a period of 18 months at a tertiary care centre enrolling cases of symptomatic pancreatic pseudocyst managed surgically. Demographic details, history, clinical findings, radiological findings, operative time, blood loss, post operative pain, and course in hospital was noted. Statistical analysis was done using independent t test as deemed appropriate. RESULTS: We found that LCG when compared with OCG is associated with shorter operative time (135 mins vs 115 mins) with statistically insignificant differences in blood loss. Patients undergoing LCG has lesser pain (3 vs 5.5 on visual analogue scale), required lesser drainage via abdominal drains (0 vs 3 days) and had fewer days of hospital admission (9 days vs 11 days). The postoperative morbidity of these procedures due to complications like surgical site infection was found to be 4.55% (1/22) for LCG and 21.43% (6/28) for OCG, with a p-value of 0.0294. Conclusion: LCG is safe, feasible, effective, requires a shorter hospital stay and enables early resumption of diet with reduced post-operative morbidity and mortality at nearly the same cost and thus is also cost-effective when compared to OCG.

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