Use of disposable stapler in operative cystogastrostomy for pancreatic pseudocyst

Surgical stapling techniques are widely used in gastrointestinal surgery. T hese procedures are excellent in convenience and safety. We describe here a new practical application of the surgical disposable stapler, Auto Suture( R) Premium Plus CEEA(R) 34 circular stapler, for the operative drainage of a large symptomatic pancreatic pseudocyst. A 68 year-old man underwent an o perative cystogastrostomy using this instrument. His post-operative recover y was uneventful. He is free from symptoms, and abdominal tomography shows complete disappearance of the cystic cavity. We believe that this is the fi rst clinical paper that reports on the stapled cystogastrostomy. This instr ument is very useful for creating a stapled cystogastrostomy, similar to on e created in the standard open approach.