Fux H D, Rivas-Martin J, Hammann H J, Schmidt H D
Med Klin. 1977 Jan 21;72(3):86-93.
Report about 98 cases of pancreatic pseudocysts and also elaboration on the etiology, pathogenesis and details of this disease. The operative method of choice is to establish the internal anastomosis. As long as the anatomic conditions and especially the structure of the cyst permit it, such anastomosis should be performed. We applied this method in 57.2 p.c. of the cases altogether. Y-anastomosis (Roux) proved to be the best. We applied it in 35.9 p.c. of our patients. For patients in bad general condition, outside drainage operation in the sense of marsupialisation is often the only possible and at the same time life-saving intervention. We performed this operation in 42.8 p.c. of our cases. Because of the clear increase in number of pancreas diseases in the last years, there is also a higher frequency of pancreatic pseudocysts. Their diagnosis and therapy are therefore important.
关于98例胰腺假性囊肿的报告,并对该病的病因、发病机制及详细情况进行阐述。首选的手术方法是建立内吻合术。只要解剖条件允许,特别是囊肿结构允许,就应进行这种吻合术。我们总共在57.2%的病例中应用了这种方法。Y形吻合术(Roux)被证明是最佳的。我们在35.9%的患者中应用了该方法。对于一般状况较差的患者,袋形缝合意义上的外引流手术往往是唯一可行且能挽救生命的干预措施。我们在42.8%的病例中进行了该手术。由于近年来胰腺疾病的数量明显增加,胰腺假性囊肿的发生率也更高。因此,它们的诊断和治疗很重要。