[Results of surgical therapy of pancreatic pseudocysts]

During the past few years pancreatic pseudocysts have been seen more frequently. Between 1.1. 1978 and 31.12. 1987 145 patients with pancreatic pseudocysts were operated at the Surgical Clinic of Mainz University. In 93 cases internal drainage was performed with a morbidity of 11.8% and a lethality of 1.1%. External drainage and pancreas resection had a lethality of 6.5% resp. 4.7%. After a mean follow-up of 7.3 years patients with non-resection therapy had a better endocrine function but a worse pain relief than those with pancreas resection. Pseudocyst recurrences developed after internal drainage in 9.3. after external drainage in 55.5% and after resection therapy in 1 of 5 cases. Cystojejunostomy within Y-Roux-anastomosis is therefore a safe method with good long-term results for the treatment of pancreatic pseudocysts.