A Comparative Study of Complications of Open Versus Laparoscopic Cysto Gastrostomy in Management of Patients of Pseudo CYST of Pancreas in Tertiary Care Centres of Central India: An Analytical Study

Abstract

Introduction: The pseudocysts seems to stem from disruptions of the pancreatic duct due to pancreatitis or trauma followed by extravasation of pancreatic secretions. Two thirds of patients with pseudocysts have demonstrable connections between the cyst and the pancreatic duct. In the other third, an inflammatory reaction most likely sealed the connection so that it is not demonstrable.Materials and methods: This study was conducted in 50 patients who were admitted in a tertiary care centre in Central India as the diagnosed cases of pseudocyst of pancreas and were being operated for the same with open or laparoscopic cystogastrostomy done with 25 patients in each group of Open and Laparoscopic cystogastrostomy.Results: This study, conducted on a group of 50 patients revealed the following observations. These cases were all either hitherto untreated cases or those referred from a primary or a secondary centre for tertiary care, owing to complications at Tertiary care centres of Central India. The majority of patients belonged to the age group of 30-39 yrs which accounted for 40% of the total number of patients. However the number of patients in the age group 20-29 yrs and 40-49 yrs were 18% each which also accounted for a large number. Lowest number of patients were in age group 10-19yrs (2%). The mean age was 38.52 yrs with standard deviation of 11.213 yrs.Conclusion: Blood loss is less and the median operating time of LCG (Laparoscopic Cysto-Gastrostomy) is significantly shorter than that of OCG (Open Cysto-Gastrostomy). Complications of LCG (Laparoscopic Cysto-Gastrostomy) are less as compared to OCG (Open Cysto-Gastrostomy). LCG (Laparoscopic Cysto-Gastrostomy) is associated with significantly lower morbidity and with a lower mortality compared to OCG (Open Cysto-Gastrostomy). LCG (Laparoscopic Cysto-Gastrostomy) is also associated with a significantly shorter duration of postoperative hospital stay and patients of LCG returned to normal physiological activity as compared to OCG (Open Cysto-Gastrostomy) patients.