Endoscopic，laparoscopic individualized treatment for pancreatic pseudocysts: An analysis of 68 cases                          YUAN Hai-cheng，QIN Ming-fang，WU Yu，et al. Minimally Invasive Surgery Center, Tianjin Nankai Hospital，Tianjin 300100，China
Corresponding author：YUAN Hai-cheng，E-mail：ironyhc2002@Gmail.com
Abstract    Objective    To investigate endoscopic，laparoscopic individualized treatment strategies for pancreatic pseudocysts based on the guidance of endoscopic，laparoscopic treatment program of pancreatic pseudocysts. Methods The clinical data of 68 cases of pancreatic pseudocysts treated in accordance with endoscopic，laparoscopic treatment program of pancreatic pseudocysts between March 2000 and December 2010 in Tanjin Minimally Invasive Surgery Center were analyzed retrospectively. The data included the general information，treatment methods, success rate，recurrence rate and complications. Results    There were 28 cases of EUS-guided through the stomach cyst drainage，12 cases of laparoscopic cyst-gastric anastomosis，5 cases of laparoscopic cyst-jejunal Roux-en-Y anastomosis，23 cases of ERPD (5Fr pancreatic duct stent placed by endoscopy). Three cases had fever after EUS internal drainage. One case had peritonitis. There was no complication in other forms of treatment. Follow-up was last from six months to nine years in 82% (56/68) of cases without recurrence. Conclusion    The endoscopic，laparoscopic treatment for pancreatic pseudocyst is more minimally invasive，can become individualized treatment strategies.