Pancreatic pseudocysts arising from the uncinate process occupy an unusual anatomical location that shapes every aspect of management. When there is no communication between the pseudocyst and the pancreatic duct, standard endoscopic approaches are insufficient, and the treatment strategy must account for this distinct situation.
The pseudocyst is located in the uncinate process of the pancreas. Establishing whether or not the pseudocyst communicates with the pancreatic duct is a critical first step — the absence of such communication, combined with this unusual location, directly drives the treatment decision.
When no duct communication is present, surgical internal drainage is the recommended course of action. The choice of operative technique is guided by the exact anatomical relationship of the cyst.
The complete procedure selection criteria, operative details, and full structured regimen are available in the protocol below.