Obermeyer Robert J, Fisher William E, Salameh Jihad R, Jeyapalan Manjula, Sweeney John F, Brunicardi F Charles
Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Texas, USA.
Surg Laparosc Endosc Percutan Tech. 2003 Aug;13(4):250-3. doi: 10.1097/00129689-200308000-00005.
The purpose of the review was to evaluate the feasibility and outcome of laparoscopic pancreatic cystogastrostomy for operative drainage of symptomatic pancreatic pseudocysts. A retrospective review of all patients who underwent laparoscopic pancreatic cystogastrostomy between June 1997 and July 2001 was performed. Data regarding etiology of pancreatitis, size of pseudocyst, operative time, complications, and pseudocyst recurrence were collected and reported as median values with ranges. Laparoscopic pancreatic cystogastrostomy was attempted in 6 patients. Pseudocyst etiology included gallstone pancreatitis (3), alcohol-induced pancreatitis (2), and post-ERCP pancreatitis (1). The cystogastrostomy was successfully performed laparoscopically in 5 of 6 patients. However, the procedure was converted to open after creation of the cystgastrostomy in 1 of these patients. There were no complications in the cases completed laparoscopically and no deaths in the entire group. No pseudocyst recurrences were observed with a median followup of 44 months (range 4-59 months). Laparoscopic pancreatic cystgastrostomy is a feasible surgical treatment of pancreatic pseudocysts with a resultant low pseudocyst recurrence rate, length of stay, and low morbidity and mortality.
本综述的目的是评估腹腔镜下胰腺囊肿胃吻合术对有症状的胰腺假性囊肿进行手术引流的可行性及疗效。对1997年6月至2001年7月期间所有接受腹腔镜胰腺囊肿胃吻合术的患者进行了回顾性研究。收集了有关胰腺炎病因、假性囊肿大小、手术时间、并发症及假性囊肿复发情况的数据，并以中位数及范围的形式报告。对6例患者尝试进行腹腔镜胰腺囊肿胃吻合术。假性囊肿病因包括胆结石性胰腺炎（3例）、酒精性胰腺炎（2例）及内镜逆行胰胆管造影术后胰腺炎（1例）。6例患者中有5例成功进行了腹腔镜囊肿胃吻合术。然而，其中1例患者在完成囊肿胃吻合术后转为开腹手术。腹腔镜手术完成的病例无并发症发生，全组无死亡病例。中位随访44个月（范围4 - 59个月），未观察到假性囊肿复发。腹腔镜胰腺囊肿胃吻合术是一种可行的胰腺假性囊肿手术治疗方法，假性囊肿复发率、住院时间及发病率和死亡率均较低。
