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Case Reports
. 2024 Jan 4:10:1323704.
doi: 10.3389/fsurg.2023.1323704. eCollection 2023.

Robotic-assisted sleeve gastrectomy with simultaneous Roux-en-Y cystojejunostomy in a patient with sever obesity and a pancreatic pseudocyst: a case report

Zheng Zhang  1 , Lun Wang  1 , Zhiqiang Wei  1 , Changyong E  1 , Tao Jiang  1
Affiliations
Case Reports

Robotic-assisted sleeve gastrectomy with simultaneous Roux-en-Y cystojejunostomy in a patient with sever obesity and a pancreatic pseudocyst: a case report

Zheng Zhang et al. Front Surg. .

Abstract

Introduction: We tried to apply a new surgical method to treat obesity combined with pancreatic pseudocyst and achieved satisfactory results.

Case and presentation: We report a case of a severely obese patient with pancreatic pseudocyst who underwent robotic-assisted sleeve gastrectomy, while the pseudocyst was incised and cyst-jejunostomy was performed. The operation was successful, and the patient was discharged on the 8th day after the procedure. There were no complications during the perioperative period. After 12 months of follow-up examinations, the patient's pancreatic pseudocyst disappeared. Additionally, there was a significant decrease in body weight, body mass index, and other indicators. As a result, obesity and related metabolic diseases were completely relieved.

Conclusions: This case summarizes and presents the experience of using robotic bariatric surgery for the treatment of pancreatic pseudocyst. This case report indicates that this surgical procedure is both safe and effective for patients with pancreatic pseudocyst who also have obesity and related metabolic diseases.

Keywords: diabete; obesity; pancreatic pseudocyst; robotic surgery; sleeve gastrectomy.

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Conflict of interest statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Figures

Figure 1
Figure 1
Preoperative CT. Pancreatic pseudocyst measuring 9.8*7.6*9.0 cm.
Figure 2
Figure 2
Intraoperative images and procedures: (A) pseudocyst was closely adhered to the posterior gastric wall. (B) Sleeve gastrectomy was performed. (C,D) Ultrasonic scalpel was used to incise the pseudocyst, and at the same time, the jejunum was lifted and anastomosed with the cyst.
Figure 3
Figure 3
Postoperative CT of abdomen. Resolution of pseudocyst, but with regional portal hypertension.
See this image and copyright information in PMC

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