The Authors report their experience of 62 consecutive patients with pancreatic pseudocysts observed within the period 1973-1993. Spontaneous resolution of the pseudocyst occurred in 16 cases. Forty-five patients were surgically treated (31 post-necrotic cysts, 5 post-traumatic cysts and 9 retention cysts); operations included internal drainage in 32 (cystojejunostomy in 13, cystogastrostomy in 18 and cystoduodenostomy in one), external drainage in 8 and pancreatic resection in 5 patients. One patient underwent percutaneous catheter drainage of a post-necrotic pseudocyst. Indications for surgery included complications, nonresolution or persistence of symptoms, and extension. The operative mortality and morbidity rates were higher in the patients submitted to external drainage (22.2% vs 6.2%; 55.5% vs 21.8% respectively). On the basis of the results the Authors conclude that the internal drainage, particularly cystojejunostomy, should be considered the operation of choice for pancreatic pseudocysts because of the lower mortality and morbidity. On the contrary, external drainage is indicated for infected or ruptured pseudocysts.

Tucci, G., D'Antini, P., Grande, M., Sivelli, R., Sianesi, M. (1996). Surgical treatment of pancreatic pseudocysts [Trattamento chirurgico delle pseudocisti del pancreas.]. IL GIORNALE DI CHIRURGIA, 17(5), 242-248.

Surgical treatment of pancreatic pseudocysts [Trattamento chirurgico delle pseudocisti del pancreas.]

TUCCI, GIANFRANCO;GRANDE, MICHELE;
1996-01-01

Abstract

The Authors report their experience of 62 consecutive patients with pancreatic pseudocysts observed within the period 1973-1993. Spontaneous resolution of the pseudocyst occurred in 16 cases. Forty-five patients were surgically treated (31 post-necrotic cysts, 5 post-traumatic cysts and 9 retention cysts); operations included internal drainage in 32 (cystojejunostomy in 13, cystogastrostomy in 18 and cystoduodenostomy in one), external drainage in 8 and pancreatic resection in 5 patients. One patient underwent percutaneous catheter drainage of a post-necrotic pseudocyst. Indications for surgery included complications, nonresolution or persistence of symptoms, and extension. The operative mortality and morbidity rates were higher in the patients submitted to external drainage (22.2% vs 6.2%; 55.5% vs 21.8% respectively). On the basis of the results the Authors conclude that the internal drainage, particularly cystojejunostomy, should be considered the operation of choice for pancreatic pseudocysts because of the lower mortality and morbidity. On the contrary, external drainage is indicated for infected or ruptured pseudocysts.
1996
Pubblicato
Rilevanza internazionale
Articolo
Sì, ma tipo non specificato
Settore MED/18 - CHIRURGIA GENERALE
English
Con Impact Factor ISI
adult; aged; article; case report; comparative study; duodenostomy; female; gastrostomy; human; jejunostomy; male; methodology; middle aged; pancreas pseudocyst; wound drainage; Adult; Aged; Drainage; Duodenostomy; Female; Gastrostomy; Humans; Jejunostomy; Male; Middle Aged; Pancreatic Pseudocyst
Tucci, G., D'Antini, P., Grande, M., Sivelli, R., Sianesi, M. (1996). Surgical treatment of pancreatic pseudocysts [Trattamento chirurgico delle pseudocisti del pancreas.]. IL GIORNALE DI CHIRURGIA, 17(5), 242-248.
Tucci, G; D'Antini, P; Grande, M; Sivelli, R; Sianesi, M
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/2108/50112
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