The Role of Pancreatic Resection in the Treatment of Pancreatic Pseudocysts

被引:7
作者
Howard T.J. [1 ,3 ]
Lueking C.A. [2 ]
Wiebke E.A. [1 ]
Smith H.G. [1 ]
Madura J.A. [1 ]
机构
[1] Department of Surgery, Indiana Univ. School of Medicine, Roudebusch VA Medical Center, Indianapolis, IN
[2] Department of Surgery, Michigan State University, East Lansing, MI
[3] Emerson Hall #523, Indianapolis, IN 46202
关键词
Chronic Pancreatitis; Pancreatic Duct; Distal Pancreatectomy; Pancreatic Resection; Pancreatic Pseudocysts;
D O I
10.1016/S1091-255X(97)80111-4
中图分类号
学科分类号
摘要
Complicated pancreatic pseudocysts, including multiple pseudocysts, those that have failed prior internal or external drainage, those with associated biliary or pancreatic duct strictures, and those where the diagnosis of cystic neoplasm cannot be excluded, pose unique problems in terms of treatment by standard internal or external drainage techniques. In the series reported herein, pancreatic resection (pylorus-sparing pancreaticoduodenectomy or distal pancreatectomy) was used to treat patients with these complicated pseudocysts resulting in a 59% morbidity rate, 3% mortality rate, and 6% recurrence rate. Results from a collective series of 152 patients from the literature support these findings. Although pancreatic resection has a limited role in the management of patients with uncomplicated pancreatic pseudocysts, it is the treatment of choice in patients with complicated pancreatic pseudocysts.
引用
收藏
页码:205 / 212
页数:7
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