Experience in the diagnostic and surgical treatment of pancreatic pseudocysts

Authors

  • N. G. Golovko Zaporizhzhia State Medical University,
  • Ye. I. Gaidarzhi Zaporizhzhia State Medical University,
  • D. A. Decik Zaporizhzhia State Medical University,
  • V. A. Gruska Zaporizhzhia State Medical University,
  • G. I. Ohrimenko Zaporizhzhia State Medical University,
  • A. A. Podluzhnyi Zaporizhzhia State Medical University,
  • T. S. Gavrilenko Zaporizhzhia Regional Clinical Hospital,
  • I. V. Zubrik Zaporizhzhia State Medical University,

DOI:

https://doi.org/10.14739/2310-1210.2015.5.53719

Keywords:

Pancreatic Pseudocyst, Tomography, Ultrasonography, Drainage, Laparotomy

Abstract

Actuality. Problem of surgical treatment of pancreatic pseudocysts is actual and debatable. The incidence of pancreatic pseudocysts is 0.5–1 per 100 000 adults per year, and in the overall incidence it reaches 1.6% –4.5%.

Aim. Surgical treatment results of 34 patients with pancreatic pseudocysts were analyzed to improve results of diagnostic and surgical management of pancreatic pseudocests.

Methods and results. Ultrasound scan combined with computer tomography were used for pancreatic pseudocysts diagnostic. Pancreatic pseudocysts surgical treatment was performed by minimally invasive percutaneous techniques and laparotomic surgery. Laparotomy operations were performed in 27 patients. The structure of operations was follow: external drainage of pseudocysts - 11 patients, 2 of them  by minilaparotomy access,  pseudocyst jejunostomy by  Roux – 9 patients, pseudocyst jejunostomy with entero-enteroanastamosis by Brown – 3 patients, pseudocyst gastrostomy and pseudocyst duodenostomy – in 2 patients. Percutaneous external drainage of  pancreatic pseudocysts under ultrasound control was performed in 7 patients. Indications for external percutaneous needle drainage of pancreatic pseudocysts under ultrasound control were: presence of a secure acoustic windows, lack of communication with the pancreatic pseudocysts ductal system, pseudocyst cavity diameter greater than 60 mm with wall thickness more than 3–4 mm, presence of the severe comorbidity and high operational and anesthetic risk (III–IV class ASA).

Conclusions. Analysis of early treatment results (3–6 months)  found that pancreatic pseudocysts minimally invasive percutaneous puncture external drainage use in combination with ultrasound control, in addition to laparotomic operation, allows to achieve excellent and good results in 91.1% of patients.

References

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How to Cite

1.
Golovko NG, Gaidarzhi YI, Decik DA, Gruska VA, Ohrimenko GI, Podluzhnyi AA, Gavrilenko TS, Zubrik IV. Experience in the diagnostic and surgical treatment of pancreatic pseudocysts. Zaporozhye Medical Journal [Internet]. 2015Nov.20 [cited 2024Jul.17];17(5). Available from: http://zmj.zsmu.edu.ua/article/view/53719

Issue

Section

Original research