Robotic-assisted cystojejunostomy and cystocystostomy: a video case report and literature review.
Silvio Caringi, Roberta Iadarola, Antonella Delvecchio et al.
✦ AI-curated · Sources linked
Case in brief
A 49-year-old man had two separate, unconnected pancreatic pseudocysts. Percutaneous drainage and endoscopic ultrasound-guided drainage were not possible, so he underwent robotic-assisted Roux-en-Y cystojejunostomy for one cyst and cystocystostomy for the other. The operation lasted 280 min, with estimated blood loss of 220 ml. He was discharged on postoperative day 7.
What made this case unusual
The two pseudocysts were separate and unconnected, and were managed with two different robotic-assisted drainage procedures in the same operation.
Diagnostic / clinical pearl
When percutaneous and endoscopic ultrasound-guided drainage are not possible, surgical drainage may be required; separate pseudocysts can require distinct drainage approaches.