Supra and infracolic approach may be preferred for debridement or external drainage of pancreatic abscess. Although the recurrence rate of pseudocyst is higher immature pseudocyst particularly infected cyst, external drainage is preferred in order to prevent spread of infection to the lesser sac. In four patients drainage of pancreatic abscess and drainage of infected acute pseudocyst was carried out. In 3 cases where laparoscopic external drainage was performed, pseudocyst recurred in one patient and while another had pancreatic fistula. Internal drainage was performed later in both the cases successfully by laparoscopic method.
Proper selection is of utmost importance for successful performance.
Adequate experience particularly in endocorporeal knotting and suturing is considered vital for Laparoscopic Pancreatic surgery. Pancreatojejunostomy for chronic pancreatitis.