ObjectiveTo determine the characters of symptomatic pancreatic pseudocyst due to acute pancreatitis and effects of surgical treatment with two kinds of procedure （internal drainage or external drainage）. MethodsOne hundred and fifteen cases hospitalized during recent ten years were retrospectively analyzed.ResultsWe found that necrotic tissue existed in the pseudocyst in most cases and infection might occur in these pseudocyst. Although effect of two kinds of surgery was similar, the clinical course was different. The complications after surgery were fewer in patients underwent internal drainage than that with procedure of external drainage, and average hospital day was 7d in cases with internal drainage and 11d in cases with external one respectively. Surgery of internal drainage used in treatment was not only successful in noninfectious and single pseudocyst, but in infectious or multiple seudocyst.ConclusionInternal drainage should be used in most cases and considered as the first selection in surgery of pseudocyst due to acute pancreatitis.
Citation：
LIU Xubao,YAN Lnan,ZHANG Zhaoda,et al.. The Character and Surgery of Pseudocyst Due to Acute Pancreatitis （Report of 115 Cases）. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2002, 9(6): 377-379. doi:
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- 1. Weltz C,Pappas TN.Pancreatography and the surgical management of pseudocysts [J]. Gastrointest Endosc Clin N Am, 1995; 5（1）∶269.
- 2. Bradley EL,Clements JL Jr, Gonzalez AC. The natural history of pancreatic pseudocysts: a unified concept of management [J]. Am J Surg, 1979; 137(1)∶135.
- 3. Yeo CJ,Bastidas JA,LynchNyhan A,et al.The natural history of pancreatic pseudocysts documented by computed tomography [J].Surg Gynecol Obstet,1990; 170(5)∶411.
- 4. Vitas GJ,Sarr MG.Selected management of pancreatic pseudocysts: operative versus expectant management [J].Surgery, 1992; 111(2)∶123.
- 5. Testi W, Coratti A, Genovese A, et al. The surgical treatment of pancreatic pseudocysts. Personal experience [J]. Minerva Chir, 2001; 56(4)∶351.
- 6. Baron TH, Morgan DE. The diagnosis and management of fluid collections associated with pancreatitis [J]. Am J Med, 1997; 102(6)∶555.
- 7. Byrne MF, Mitchell RM, Baillie J. Pancreatic pseudocysts [J]. Curr Treat Options Gastroenterol, 2002; 5(5)∶331.
- 8. 陈鹏，胡骥，卢实春. 胰腺假性囊肿的治疗（附76例分析） [J]. 中国普外基础与临床杂志，1998; 5(6)∶369.
