Construction of pancreaticocystogastrostomy using an automatic stapling device.

The difficulties in employing standard techniques in the management of pancreatic pseudocysts led to the development and evaluation of a new approach. The advent of surgical stapling instruments has allowed the anastomotic procedures to be done in a more expeditious manner. For that reason, it was decided to treat pancreatic pseudocysts in two patients by constructing a pancreaticocystogastrostomy with the use of an automatic stapling instrument. The performance of the technique and the uneventful postoperative course encourages its continued use in cysts that are adjacent to the posterior gastric wall.