This entry site will provide access to the anastomotic site in the posterior gastric wall. The incision should be made exactly centered between the lesser and greater curvature. The camera is advanced to visualize the posterior wall of the stomach. The needle is inserted into the cyst and its presence is confirmed by aspiration. A 0.75cm incision is then made into the cyst.
Pancreatic fluid is aspirated.
The smaller jaw of this instrument is inserted into the pseudocyst. The stapling device is closed with great precautions. Attention should be taken to verify the anastomosis will not be under tension. The anastomosis should be checked for any gaps. A Blake Drain is left next to the gastrostomy.