巨大胰腺假性囊肿的处理方法及时机选择
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汪建初, 浦 涧, 李良波, 韦建宝, 韦忠恒,
巨大胰腺假性囊肿;手术时机;手术方法,汪建初,浦涧,李良波,韦建宝,韦忠恒,马日海,韦邦宁,通讯作者,Alternativesoftimingandsurgica
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汪建初, 浦涧, 李良波, 韦建宝, 韦忠恒, 马日海, 韦邦宁, 右江民族医学院附属医院肝胆外科 广西壮族自治区区百色市 533000
通讯作者: 汪建初, 533000, 广西壮族自治区百色市中山二路18号, 右江民族医学院附属医院肝胆外科. wjianchu@sina.com
电话: 0776-2836646
收稿日期: 2006-04-02 接受日期: 2006-06-06
Alternatives of timing and surgical treatments for giant pancreatic pseudocysts
Jian-Chu Wang, Jian Pu, Liang-Bo Li, Jian-Bao Wei, Zhong-Heng Wei, Ri-Hai Ma, Bang-Ning Wei
Jian-Chu Wang, Jian Pu, Liang-Bo Li, Jian-Bao Wei, Zhong-Heng Wei, Ri-Hai Ma, Bang-Ning Wei, Department of Hepatobiliary Surgery, the Affiliated Hospital of Youjiang Medical College for Nationalities, Baise 533000, Guangxi Zhuang Autonomous Region, China
Correspondence to: Jian-Chu Wang, Department of Hepatobiliary Surgery, the Affiliated Hospital of Youjiang Medical College for Nationalities, 18 Zhongshan Er Road, Baise 533000, Guangxi Zhuang Autonomous Region, China. wjianchu@sina.com
Received: 2006-04-02 Accepted: 2006-06-06
Abstract
AIM: To investigate surgical interventions and timing for giant pancreatic pseudocysts.
METHODS: Twenty-nine patients with giant pseudocysts were retrospectively analyzed. According to the surgical interventions, we divided the 29 cases into three groups: internal drainage group (n = 14), external drainage group (n = 7), and percutaneous acupuncture drainage group (n = 8).
RESULTS: Of the 14 cases in internal drainage group, 1 was complicated with obstruction of intestine and pseudocysts recurred in 4 patients. Of the 7 cases in external drainage group, abscess of pancreas was found in 1 case; pseudocyst recurred also in 1 case; fistula of pancreas and colon developed in 1 case; and the rest were cured with no complications. Of the 8 cases received percutaneous acupuncture drainage under B ultrasonography, 7 were cured completely and 1 underwent cyst-jejunum anastomosis as the wall became thicker.
CONCLUSION: Percutaneous acupuncture drainage under B ultrasonagraphy or computed tomography should be used in the early stage to make the pseudocyst mature or disappear ......
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