[Pancreatic pseudocysts--clinical picture and surgical treatment]

Report about 98 cases of pancreatic pseudocysts and also elaboration on the etiology, pathogenesis and details of this disease. The operative method of choice is to establish the internal anastomosis. As long as the anatomic conditions and especially the structure of the cyst permit it, such anastomosis should be performed. We applied this method in 57.2 p.c. of the cases altogether. Y-anastomosis (Roux) proved to be the best. We applied it in 35.9 p.c. of our patients. For patients in bad general condition, outside drainage operation in the sense of marsupialisation is often the only possible and at the same time life-saving intervention. We performed this operation in 42.8 p.c. of our cases. Because of the clear increase in number of pancreas diseases in the last years, there is also a higher frequency of pancreatic pseudocysts. Their diagnosis and therapy are therefore important.