Successful Robotic Cystogastrostomy after Failed Endoscopic Drainage for Infected Pancreatic Fluid Collection Post Distal Pancreatectomy.

We are presenting the management of an infected pancreatic fluid collection that occurred six months after distal pancreatectomy in the setting of a radical resection for adrenal carcinoma. Progressive increase in size of the cyst and failure of endoscopic drainage represented the surgical indications for cystogastrostomy. The procedure was facilitated by robotic approach with da Vinci Surgical System. Though as per current literature the endoscopic drainage has largely been accepted for this pathology due to its high rate of success and a low rate of complications, in this particular case, surgical drainage by the minimally invasive robotic approach was successful after endoscopic approach has failed.