Pancreatic pseudocysts associated with chronic pancreatitis--early and late results of 1367 operations.
The authors hereby review the data of 1367 operations for pancreatic pseudocysts. The surgical procedures of choice in particular pancreatic pathologies are analysed in the light of early morbidity and mortality, as well as long term follow-up results. The best operations for pancreatic pseudocysts have been the internal drainage procedures, which resolve the pathological alterations without the necessity of pancreatic resection. The treatment of chronic pancreatitis may require combined surgical procedure, such as cysto-Wirsungo-gastrostomy. The pancreatic resections performed for the treatment of small pseudocysts in the pancreatic head have been superseded by the less invasive blunt, forced cysto-duodenostomies, representing better results secondary to the smaller perioperative risk for the patient. The cyst-to-stomach and cyst-to-duodenum internal drainage techniques are just as effective, but with shorter operation time, than the Roux-en-Y cysto-jejunostomies.
Magyar
A
A
First Department of Surgery, Semmelweis University Medical School, Budapest, Hungary.
Flautner
L
L
Pulay
I
I
Tihanyi
T F
TF
Harsányi
L
L
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000713:Anastomosis, Roux-en-Y; D000714:Anastomosis, Surgical; D002908:Chronic Disease; D004322:Drainage; D004386:Duodenum / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007583:Jejunum / Q000601:surgery; D008297:Male; D008875:Middle Aged; D010180:Pancreatectomy; D010192:Pancreatic Pseudocyst / Q000150:complications* / Q000601:surgery; D010195:Pancreatitis / Q000150:complications* / Q000601:surgery; D011183:Postoperative Complications; D012189:Retrospective Studies; D013270:Stomach / Q000601:surgery; D015996:Survival Rate