Zirngibl H, Gebhardt C, Fassbender D
Langenbecks Arch Chir. 1983;360(1):29-41. doi: 10.1007/BF01255581.
Between 1967 and 1980 a total of 153 benign pancreatic pseudocysts were operatively treated in 148 patients. Most frequently drainage of the cyst into the small intestine with a Roux-en-y loop was effected. The operative mortality with this method was 5.8%. The total operative mortality was 6.8%. The recurrence rate in all surviving patients was 32.6% during a mean observation period of 56.4 months. There was a correlation between the incidence of recurrence and the etiology of the cyst (chronic, acute and traumatic pancreatitis). Patients in whom the pseudocyst arose from chronic pancreatitis had a recurrence rate of 41.4% as compared to 17.8% in patients with cysts developing after acute pancreatitis. This difference is even more pronounced in the group of the 120 patients in whom a cystojejunostomy was performed. The total recurrence rate of 31.9% is mainly caused by patients with chronic pancreatitis who suffered a relapse in 43.8%. The cysts developing after acute pancreatitis on the other hand had a recurrence rate of only 8.6%. It is concluded that internal drainage of the pancreatic pseudocyst by cystojejunostomy with a Roux-en-y loop is justified in post-traumatic cysts and in those arising after acute pancreatitis. Pseudocysts associated with chronic pancreatitis on the other hand should be resected whenever possible.
1967年至1980年间，148例患者共153个胰腺良性假性囊肿接受了手术治疗。最常用的方法是将囊肿引流至带有Roux-en-y袢的小肠。该方法的手术死亡率为5.8%。总手术死亡率为6.8%。在平均56.4个月的观察期内，所有存活患者的复发率为32.6%。复发率与囊肿的病因（慢性、急性和创伤性胰腺炎）之间存在相关性。假性囊肿由慢性胰腺炎引起的患者复发率为41.4%，而急性胰腺炎后出现囊肿的患者复发率为17.8%。在接受囊肿空肠吻合术的120例患者中，这种差异更为明显。31.9%的总复发率主要是由慢性胰腺炎患者导致的，其复发率为43.8%。另一方面，急性胰腺炎后出现的囊肿复发率仅为8.6%。结论是，对于创伤后囊肿和急性胰腺炎后出现的囊肿，采用带有Roux-en-y袢的囊肿空肠吻合术进行胰腺假性囊肿内引流是合理的。另一方面，与慢性胰腺炎相关的假性囊肿应尽可能切除。
