Pancreatic pseudocyst. Analysis of surgical therapy in 58 patients.
From 1970 to 1981, 58 patients underwent surgery for pancreatic pseudocyst. The mean duration of follow-up was 37,6 +/- 34,4 SD months. The internal drainage (ID) (50% - 19/28 pat.) is the first choice therapy of pancreatic pseudocyst as it had no mortality, a low morbidity (20,7%) and a rare recurrence rate (3,4%). External drainage (ED) (18,9% - 11/58 pat.) had a high mortality (27,3%), recurrence rate (54,5%) morbidity rate (100%). 18 patients underwent an excisional therapy (31%). A total pancreatico-duodenal resection, realised because of a transmesenteric rupture of an isthmic pseudocyst was unsuccessful (1/18 patients - 5,6% mortality). Cyst recurrence (12,1% - 7 pat.) was increased by the number of urgent interventions, reflecting the higher incidence of ED in these patients (1/41 pat. - 2,4% in the elective operated pat. vs 6/17 pat. - 35.3% in the urgent operated pat.). All four fatal outcomes (6,9%) were related to gastro-intestinal (3) and intra-abdominal (1) bleeding.
D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D004322:Drainage / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008722:Methods; D008875:Middle Aged; D010181:Pancreatic Cyst / Q000601:surgery*; D010192:Pancreatic Pseudocyst / Q000175:diagnosis / Q000401:mortality / Q000601:surgery*; D011183:Postoperative Complications / Q000401:mortality; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography