Treatment for pancreatic pseudocysts, report of 53 cases
10.3760/cma.j.issn.1007-631X.2016.10.011
- VernacularTitle:53例胰腺假性囊肿治疗分析
- Author:
Haitao SHANG
;
Xibo ZHANG
;
Hongtao ZHANG
;
Jianheng BAO
;
Zhoglian LI
- Publication Type:Journal Article
- Keywords:
Pancreatic cyst;
Drainage;
Anastomosis,surgical
- From:
Chinese Journal of General Surgery
2016;31(10):832-835
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the treatment and clinical outcome of pancreatic pseudocysts.Methods Clinical data of 53 pancreatic pseudocyst patients treated from Jan 2008 to Oct 2014 was retrospectively analyzed.Results 9 cases underwent CT-guided percutaneous catheter drainage,among them 3 cases underwent reoperation.8 cases underwent endoscopic ultrasonography-guided transmural drainage,including transgastric approach in 7,transduodenal approach in 1,Procedures in all these 8 cases were successful and pseudocyst disappeared completely without complication.Surgical procedures were performed in 36 cases,3 by external drainage,1 of the 3 underwent reoperation;11 cases underwent cystgastrostomy,with 2 suffering from postopertative gastrointestinal bleeding;3 cases underwent cystduodenostomy;19 cases underwent Roux-en-Y cystojejunostomy,with 1 suffering from postopertative gastrointestinal bleeding.Follow-up ranged from 4 months to 6 years,there was no cyst recurrence.Conclusion The treatment of pancreatic pseudocysts is diversified and should be individualized.Internal drainage is the mainstay of treatment,preferably through endoscopic ultrasonography-guided transmural drainage,leaving difficult cases to open cystojejunostomy.
