Early percutaneous external drainage procedure in treatment of pancreatic pseudocyst.
- Author:
Myoung Jin JUN
1
;
Hae Young KIM
Author Information
1. Department of Surgery, College of Medicine, Pusan National University, Korea.
- Publication Type:Original Article
- Keywords:
Pancreatic pseudocyst;
Percutaneous catheter drainage
- MeSH:
Busan;
Catheters;
Drainage*;
Humans;
Incidence;
Male;
Pancreas;
Pancreatectomy;
Pancreatic Ducts;
Pancreatic Juice;
Pancreatic Pseudocyst*
- From:Korean Journal of Hepato-Biliary-Pancreatic Surgery
2000;4(1):131-138
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND: Pancreatic pseudocyst is the most common cystic lesion of pancreas, which is formed with leakage of pancreatic juice by pancreatic duct injury, surrounded by around intraperitoneal organs and tissue. METHODS: The study subjects consist of 18 patients who undergone primarily percutaneous catheter drainage(PCD) from January of 1995 to December of 1998 at Pusan National University Hospital. RESULTS: The peak incidence was in the age group of 20 to 40 years and male gender was somewhat dominant. The cause of pancreatic pseudocyst was mainly trauma(61.1%), the most common location of injury site was body of pancreas. The initial diameter of pancreatic pseudocyst was above 6 cm(72.2%) and the size was reduced in 13 cases(72.2%) of 18 cases during treatment. Mostly the amount of drainage through PCD was below 100mL(55.6%) and the amount was decreased in 13 cases during treatment. Spontaneous resolution of pancreatic pseudocyst was occurred in 11 cases, among them 3 cases were recurred. Persistent or recurred cases were undergone secondary procedure, internal drainage in 6 cases, retrial of PCD in 2 cases, distal pancreatectomy in 1 case, zther in 1 case. CONCLUSION: The percutaneous catheter drainage performed within initial 6 weeks for spontaneous resolution of pancreatic pseudocyst or maturation of cystic wall is considered as alternative treatment of pancreatic pseudocyst.
