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[Pancreatic pseudocysts. Clinical contribution].

G Basile1, A Buffone, A Bonaccorso

  • 1Sezione di Chirurgia d'Urgenza e Generale, Dipartimento di Chirurgia, Università degli Studi di Catania, Catania, Italy.

Minerva Chirurgica
|September 5, 2003
PubMed
Summary
This summary is machine-generated.

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Pancreatic pseudocysts can resolve spontaneously or require intervention. Laparotomy, particularly pseudocyst-jejunostomy, remains the gold standard, though promising laparoscopic approaches are emerging for managing these cysts.

Area of Science:

  • Gastroenterology
  • Surgical Oncology
  • Abdominal Imaging

Background:

  • Pancreatic pseudocysts are fluid collections that can cause significant morbidity.
  • Effective management requires accurate diagnosis and appropriate therapeutic strategies.

Purpose of the Study:

  • To compare diagnostic examinations and therapeutic modalities for pancreatic pseudocysts.
  • To present personal experience with three post-necrotic pancreatic pseudocyst cases.

Main Methods:

  • Literature review of diagnostic and therapeutic options.
  • Case series of three patients with post-necrotic pancreatic pseudocysts managed with CT, pseudocyst-jejunostomy, percutaneous drainage, and pseudocyst-gastrostomy.

Main Results:

Related Experiment Videos

  • Computed tomography (CT) effectively diagnosed pancreatic pseudocysts.
  • One patient experienced spontaneous resolution; two required surgical intervention (pseudocyst-jejunostomy and percutaneous drainage followed by pseudocyst-gastrostomy).
  • All patients achieved cure, with one experiencing a manageable postoperative pleural effusion.

    • Conclusions:

    • Pancreatic pseudocysts have varied management options, including spontaneous resolution, endoscopic, percutaneous, laparoscopic, and laparotomic approaches.
    • Laparotomy, especially pseudocyst-jejunostomy, is the current gold standard.
    • Laparoscopic approaches show promise for creating effective cyst-gastric communication.