Publication:

Large pseudocyst of pancreas: open surgical drainage by Roux-en-Y cystojejunostomy-an effective physiological drainage strategy: an experience of 28 cases over 18 years

Background Pseudocyst pancreas is a complication of acute or chronic pancreatitis. Most pseudocyst 06 to 08 weeks old, >10 cm in diameter (>10 cm is termed as large), situated in the body and tail of the pancreas, with 0.7 to 0.8 cm wall thickness. They all were subjected to standard open surgical drainage (OSD) by Roux-en-Y cystojejunostomy and prophylactic cholecystectomy. Ethical clearance was taken from SGT University gurgaon for cases that were done from 2017 onwards till 2024.

Results Out of 28 patients of pseudocyst pancreas, 06 had SSI, 02 elderly patient with diabetes mellitus had slow recovery. Early enteral feeding within 04 days could be resumed in 11 patients and one had pelvic collection, which was managed by USG guided aspiration. Average hospital stay was 12 days. No morbidity or mortality.

Conclusions We therefore conclude that pancreatic large pseudocyst can be drained effectively and physiologically by open surgical Roux-En-Y cystojejunostomy in any secondary health care center managed by general surgeons.