Evaluation and selection of different procedures in the treatment of pancreatic pseudocyst / 中华外科杂志
Chinese Journal of Surgery
;
(12): 149-152, 2005.
Artículo
en Chino
| WPRIM
| ID: wpr-345026
ABSTRACT
<p><b>OBJECTIVE</b>To evaluate the effect of different procedures in the treatment of pancreatic pseudocyst.</p><p><b>METHOD</b>This retrospective review analyzed the outcome of 114 patients with pancreatic pseudocysts managed in PUMC Hospital from January 1990 to March 2002.</p><p><b>RESULT</b>There were 25 patients without intervention, the spontaneous resolution of pseudocysts occurred in 23 of these patients during follow up. Twenty-nine cases underwent CT-guided percutaneous catheter drainage; the effective rate of therapy was 67.85%. Surgical procedures performed in 60 cases and the overall mortality was 5% (3/60). The procedures included external drainage (8 cases) with 1 death (12.5%), excision (13 cases), cyst-duodenostomy (1 cases), cyst-gastrostomy (19 cases) with 7 postoperative gastrointestinal bleeding (36.8%) and 1 death (5.26%), Roux-en-Y cyst-jejunostomy (19 cases) with 3 postoperative gastrointestinal bleeding (15.8%) and 1 death (5.26%).</p><p><b>CONCLUSIONS</b>CT-guided percutaneous catheter drainage has the advantage of minimal invasive and simple technique; it can be as an effective substitute method of traditional open external drainage. Although minimally invasive techniques offer a variety of treatment options, surgical procedures are still indicated for significant number of patients. The incidence of postoperative gastrointestinal bleeding in cyst-gastrostomy was higher than those patients with Roux-en-Y cyst-jejunostomy, but most of them were not difficult to treatment, so cyst-gastrostomy is still a simple and reasonable procedure for selected patients. Excision is a correct choice for cases in which pseudocysts cannot be differentiated from neoplastic cysts.</p>
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Seudoquiste Pancreático
/
Cirugía General
/
Terapéutica
/
Anastomosis en-Y de Roux
/
Drenaje
/
Estudios Retrospectivos
/
Resultado del Tratamiento
/
Procedimientos Quirúrgicos Mínimamente Invasivos
/
Endosonografía
/
Métodos
Tipo de estudio:
Estudio observacional
Límite:
Adolescente
/
Adulto
/
Anciano
/
Femenino
/
Humanos
/
Masculino
Idioma:
Chino
Revista:
Chinese Journal of Surgery
Año:
2005
Tipo del documento:
Artículo
Similares
MEDLINE
...
LILACS
LIS