bandage-green

Pancreatic Cystgastrostomy (Pseudocyst Drainage)

Anesthesia Implications

Clinically reviewed by anesthesia providers · Updated

Position : Supine, Left Lateral, arms extended, arms free at side
Time : 1-2 hours (average)
Blood Loss : High (200 - 500 ml)
Post-op Pain : High (7-10)
Maintenance Paralytic : Yes
Blocks : TAP, Rectus Sheath
Considerations : Arterial line, Aspiration risk / Full stomach, Fluoroscopy / Xray, High Blood Loss, Off-site, PONV

Anesthetic Approaches

1GETT, TIVA, Propofol Drip
2GETT, Nerve Block
The Surgery

Timing - drainage is deferred until the pseudocyst wall has matured, typically several weeks out from the pancreatitis episode, because an immature wall holds neither an anastomosis nor a stent...

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