Laparoscopic Drainage of a Large Pancreatic Pseudocyst

A laparoscopic approach may be feasible in the management of very large pseudocysts of the pancreas.
Laparoscopic cystogastrostomy is an established procedure for the drainage of pancreatic pseudocysts. Cysts are mainly present in the lesser sac (retro-gastric), which is completely amenable to cystogastrostomy. We discuss the problems faced and simple solutions to the problems in managing a huge pancreatic pseudocyst of 22 cm×18 cm in a young boy 18 y of age.