Timing of surgical treatment for pancreatic pseudocyst secondary to severe acute pancreatitis
- VernacularTitle:重症急性胰腺炎继发假性胰腺囊肿手术时机探讨
- Author:
He WU
- Publication Type:Journal Article
- Keywords:
Pancreatic pseudocyst;
Operation;
Complication
- From:
Chinese Journal of Hepatobiliary Surgery
2005;0(05):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To determine the timing of surgical treatment for pancreatic pseudocyst(PPC) secondary to severe acute pancreatitis(SAP). Methods Twenty-seven cases of PPC appearing 4-8 weeks after SAP were treated with internal drainage were included in group A.Of the 27 cases,10 received cystojejunostomy by stapler.In other 30 cases in group B,surgical procedures were performed 24 weeks after the formation of the cyst.Several parameters were compared between the 2 groups.Results The incidence of anastomotic leakage,average duration of hospitalization and mean fee for hospitalization were significantly lower in group A than in group B(P0.05).Emergency surgical treatments were performed in 5 patients in group B due to complications of introcystic hemorrhage(1 patients),introcystic infection(2 patients) and cystic rupture(2 patients).Conclusions Accurate diagnosis and early surgical treatments are effective and safe for treatment of PPC secondary to SAP.Meanwhile,they might be helpful for avoiding complications of introcystic infection,introcystic hemorrhage and cystic rupture.
