Laparoscopic technologies in the treatment of external pancreatic fistulas after cyst drainage

Introduction. The number of patients with acute and chronic pancreatitis is steadily growing. The average age of patients with pancreatitis is currently 39 years. The percentage of disability in patients with this pathology has increased to 15 %. One of the options for complications in patients with chronic pancreatitis is the development of postnecrotic pancreatic cysts. The purpose of the study. To improve the results of surgical treatment of patients with pancreatitis, complicated by the development of postnecrotic pancreatic cysts of various localization, through the use of laparoscopic minimally invasive cystogastrostomy. Materials and methods. The article analyzes the results of surgical treatment of 27 patients with postnecrotic pancreatic cysts of various localization, who underwent surgery in the scope of laparoscopic minimally invasive cystogastrostomy. Treatment results. The presented method of surgical treatment of patients with postnecrotic pancreatic cysts was effective in 25 patients, one patient had a relapse. In one patient, it was not possible to evaluate the results of treatment due to a lethal outcome. Conclusion. Laparoscopic minimally invasive cystogastrostomy is an alternative surgical treatment option for patients with postnecrotic pancreatic cysts of various localization, for whom other options for minimally invasive and resection operations are undesirable or impossible due to some topographic and anatomical features of the patient.