Stipa F, Gavelli A, Huguet C
Department of Surgery, Princess Grace Hospital, Principality of Monaco.
HPB Surg. 1994;8(2):123-8. doi: 10.1155/1994/23181.
Treatment of bleeding psedoaneurysms and pseudocysts of the pancreas is controversial. Surgical treatment with pancreatic resection or trancystic arterial ligation is not always satisfactory since postoperative mortality rate is high, especially for lesions located in the pancreatic head and rebleeding is not unusual. Two patients with bleeding pseudoaneurysms (one post traumatic, one spontaneous) and one with a hemorrhagic pseudocyst of the pancreatic head were treated surgically with arterial suture and omentoplasty. Bleeding was controlled in all, without any postoperative mortality or morbidity. No rebleeding occurred with a follow up of 33, 26 and 12 months. Trancystic ligation of bleeding vessels with omentoplasty may be a useful approach, which should be compared to arterial embolization in the future.
胰腺出血性假性动脉瘤和假性囊肿的治疗存在争议。采用胰腺切除术或经囊肿动脉结扎术的外科治疗并不总是令人满意，因为术后死亡率很高，尤其是对于位于胰头的病变，而且再出血并不罕见。两名患有出血性假性动脉瘤的患者（一名为创伤后，一名为自发性）和一名患有胰头出血性假性囊肿的患者接受了动脉缝合和网膜成形术的手术治疗。所有患者的出血均得到控制，无术后死亡或发病情况。随访33个月、26个月和12个月均未发生再出血。经囊肿结扎出血血管并进行网膜成形术可能是一种有用的方法，未来应与动脉栓塞术进行比较。
