[Pancreatic pseudocysts: the surgical timing].
Forty-three cases of pancreatic pseudocysts (PPC) are reviewed. Various emergency and elective surgical therapeutical options have been employed: while external drainage has confirmed to represent the best procedure in emergency occurrences, cystojejunostomy has proved to be the treatment that better provides both optimal functional results and minimal mortality/morbidity in elective situations. Our study also confirms that the thickness of the pseudocystic wall is the only feature apt to determine whether or not a PPC is susceptible of internal surgical derivation, and that abdominal ultrasound scanning is the most sensitive and reliable diagnostic method to ascertain this prerequisite, thus providing a well-timed strategy for elective derivative operations.
Tocchi
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Istituto I Clinica Chirurgica, Università degli Studi di Roma La Sapienza.
Basso
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L
Lepre
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L
Costa
G
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Liotta
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G
Mazzoni
G
G
D000328:Adult; D000368:Aged; D004796:Clinical Enzyme Tests; D004322:Drainage; D005260:Female; D006801:Humans; D007517:Isoamylase / Q000097:blood; D008297:Male; D008875:Middle Aged; D010179:Pancreas / Q000000981:diagnostic imaging; D010180:Pancreatectomy; D010192:Pancreatic Pseudocyst / Q000175:diagnosis / Q000601:surgery*; D013997:Time Factors; D014463:Ultrasonography
D007517:Isoamylase
Le pseudocisti pancreatiche: "timing" chirurgico.