Ravelo H R, Aldrete J S
Surg Gynecol Obstet. 1979 May;148(5):735-8.
The analysis of 45 patients with pancreatic pseudocysts treated surgically suggests that a significant proportion of the pancreatic pseudocysts detectable by physical examination, upper gastrointestinal tract x-ray series and sonography undergo major complications which, if neglected, may require an emergency or semiemergency type operation which, for obvious reasons, carries a higher operative mortality than when the same operation is performed electively. Therefore, pancreatic pseudocysts which are palpable and reontgenographically distort the anatomy of the upper part of the abdomen should be operated upon electively but promptly. Internal drainage by a cystogastric stoma or cystojejunal stoma, the latter being most favored in this series, apppears to be the best choice. Realistically, expectations are satisfactory results in 85 per cent of the patients, a recurrence rate of about 7 per cent and unsatisfactory results in about 12 per cent. Recurrent cysts are, in most instances amenable to a second surgical procedure.
对45例接受手术治疗的胰腺假性囊肿患者的分析表明，通过体格检查、上消化道X线系列检查和超声检查可发现的相当一部分胰腺假性囊肿会发生严重并发症，如果忽视这些并发症，可能需要进行急诊或半急诊手术，显然，这种手术的手术死亡率高于择期进行相同手术时的死亡率。因此，可触及且在X线片上使上腹部解剖结构变形的胰腺假性囊肿应择期但及时进行手术。通过囊肿胃吻合口或囊肿空肠吻合口进行内引流，在本系列中后者最受青睐，似乎是最佳选择。实际上，预期85%的患者会取得满意的结果，复发率约为7%，约12%的患者结果不满意。大多数情况下，复发性囊肿适合再次进行手术。
