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[Internal drainage surgery in pancreatic pseudocysts]
H Schröder1, R Friedel, S Pfefferkorn
1Klinik für Chirurgie, Friedrich-Schiller-Universität Jena.
Zentralblatt Fur Chirurgie
|January 1, 1989
Summary
Surgical intervention for pancreatic pseudocysts lasting over six weeks is recommended. Cystojejunostomy offers the most favorable outcomes with lower mortality rates compared to other procedures.
Area of Science:
- Gastroenterology
- Surgical Oncology
- Abdominal Surgery
Context:
- Pancreatic pseudocysts are a common complication of pancreatitis.
- Surgical management is often required for persistent pseudocysts.
- This study reviews surgical outcomes for pancreatic pseudocysts.
Purpose:
- To evaluate the efficacy and outcomes of different surgical procedures for pancreatic pseudocysts.
- To determine the optimal surgical approach for pancreatic pseudocyst management.
- To analyze complication rates and mortality associated with various surgical techniques.
Summary:
- A review of 60 pancreatic pseudocysts treated surgically, including cystojejunostomy, cystogastrostomy, cystoduodenostomy, and external drainage.
- Cystojejunostomy demonstrated the most favorable results with a significantly lower operative mortality rate (3.4%) compared to the overall surgical mortality (8.3%).
- Hemorrhage and peritonitis were the most frequent severe complications. Internal drainage procedures yielded approximately 80% excellent or satisfactory outcomes.
Impact:
- Cystojejunostomy is identified as the preferred surgical method for pancreatic pseudocysts.
- Early surgical intervention for pseudocysts exceeding six weeks is advised.
- External drainage remains crucial for emergency situations or managing complications.