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Cystoduodenostomy. New perspectives.

E L Bradley

    Annals of Surgery
    |December 1, 1984
    PubMed
    Summary
    This summary is machine-generated.

    Transduodenal cystoduodenostomy offers a safe and effective method for draining pancreatic pseudocysts, with no mortality or major complications in this study. This approach shows comparable mortality rates to other internal drainage methods.

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    Area of Science:

    • Gastroenterology
    • Surgical Procedures
    • Pancreatic Diseases

    Background:

    • Pancreatic pseudocysts are a common complication of pancreatitis.
    • Internal drainage is a primary treatment modality for symptomatic pancreatic pseudocysts.
    • Cystoduodenostomy has a controversial history regarding its safety and efficacy.

    Purpose of the Study:

    • To report the largest single-institution experience with transduodenal cystoduodenostomy for pancreatic pseudocyst drainage.
    • To evaluate the safety and efficacy of this specific cystoduodenostomy technique.
    • To compare outcomes of transduodenal cystoduodenostomy with other surgical methods for pancreatic pseudocysts.

    Main Methods:

    • Retrospective review of 14 patients undergoing transduodenal cystoduodenostomy.

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  • Average follow-up of 39 months.
  • Comparative analysis with a 15-year review of other pancreatic pseudocyst surgical procedures.

    • Main Results:

    • No mortality, fistula, abscess, or hemorrhage observed in the 14 patients.
    • Two cases of recurrent pseudocysts, both outside the pancreatic head.
    • Transduodenal cystoduodenostomy demonstrated similar mortality rates to other internal drainage methods.
    • Laterolateral cystoduodenostomy by suture anastomosis had a 70% mortality rate.

    Conclusions:

    • Transduodenal cystoduodenostomy is a safe and effective method for internal pancreatic pseudocyst drainage.
    • This technique offers comparable outcomes to other internal drainage procedures.
    • Laterolateral cystoduodenostomy should be avoided due to high mortality.