Assessment of the degree of maturity in the wall of pancreatic pseudocysts in relation to choice of surgical procedure

• Published in: Acta chirurgica Iugoslavica Vol. 52; no. 1; pp. 33 - 39
• Main Authors: Djordjević, Z, Knezević, S, Ceranić, M, Bulajić, P, Ostojić, S, Stefanović, D, Knezević, Dj, Pavlov, M, Stamenković, A
• Format: Journal Article
• Language: Croatian; Serbian
• Published: Serbia 2005
• Subjects: Adult; Digestive System Surgical Procedures; Female; Humans; Male; Middle Aged; Pancreatic Pseudocyst - pathology; Pancreatic Pseudocyst - surgery
• ISSN: 0354-950X
• DOI: 10.2298/aci0501033d

The aim of this study is to present our experience in the diagnosis and treatment of pancreatic pseudocysts. A pancreatic pseudocyst is an incapsulated collection of pancreatic juice, enclosed by nonepithelial elements, containing a high concentration of pancreatic enzymes, bicarbonates and necrotic detritus. It is a common complication of acute pancreatitis and trauma of the pancreas. In the period between 1996 and 2001, 53 surgical procedures were performed for pancreatic pseudocyst at the Institute for Digestive Diseases (First Surgical University Hospital), 35 male patients (67%) and 17 female patients (33%) underwent surgery. In 39 (75%) patients the method of choice was cystojejunostomy by Roux. In 4 cases distal pancreatectomy for pseudocysts localized within the pancreatic tail was performed, complete pseudocyst excision only was performed in one case and complete pseudocyst excision combined with cystojejunostomy was also performed in one case. Cystogastrostomy and drainage in one case and partial cystectomy and drainage also in one case. Surgical internal drainage is the method of choice for the treatment of pancreatic pseudocysts, involving low morbidity and mortality rates.