The gradual enlargement of a persistant pancreatic pseudocyst generall
y requries intervention. When the decision to carry out an operative p
rocedure is made, preference should be given to internal rather than e
xternal drainage. We have developed a simple technique in which the ps
eudocyst is approached directly, to make a pancreatico-cystojejunostom
y, which does not require a Braun- or Roux-en-Yanastomosis. We present
our laparoscopic method, which opens up new possibilities in the trea
tment of pancreatic pseudocysts.