Shatney C H, Lillehei R C
Surg Gynecol Obstet. 1981 Jun;152(6):809-12.
In an attempt to provide practical guidelines for the management of pancreatic pseudocysts, the results in 114 patients were analyzed from the perspective of the timing of operative intervention. Over-all, the patients undergoing surgical therapy during the first six weeks after pseudocyst formation had higher rates postoperatively of morbidity, mortality and recurrence than did those treated later in the course of the disease. However, further subdivision of the data revealed that the results in patients with uncomplicated pseudocysts were similar, irrespective of the timing of operative treatment. Operative intervention in patients with a pseudocyst who were acutely ill was risky at any time in the course of the disease. Based upon our results and upon information available in the literature, the optimal timing of the operation in patients with uncomplicated pseudocysts appears to be about four weeks after formation of the mass. The utility of ultrasound evaluation in making a surgical decision is also discussed.
为了为胰腺假性囊肿的管理提供实用指南，我们从手术干预时机的角度分析了114例患者的结果。总体而言，在假性囊肿形成后的前六周内接受手术治疗的患者，其术后发病率、死亡率和复发率均高于疾病后期接受治疗的患者。然而，对数据的进一步细分显示，单纯性假性囊肿患者的结果相似，无论手术治疗的时机如何。患有假性囊肿且病情严重的患者在疾病过程中的任何时候进行手术干预都有风险。根据我们的结果以及文献中的可用信息，单纯性假性囊肿患者的最佳手术时机似乎是肿块形成后约四周。还讨论了超声评估在做出手术决策中的作用。
