J Korean Surg Soc.  1997 Jul;53(1):118-127.

Comparison of Surgical Treatment with Percutaneous Catheter Drainage of a Pancreatic Pseudocyst

• Kim JW
• Whang YJ
• Yun YK
• Ryeom HK
• Kim YI

Abstract

A pancreatic pseudocyst is a relatively rare complication of pancreatitis. Various factors, such as inflammatory process or trauma, are among the possible cause of pancreatitis. A pancreatic pseudocyst is often defined as a localized collection of pancreatic juice in the retroperitoneal area surrounded by a fibrous membrane devoid of an epithelial lining. The hospital records of 52 cases of pancreatic pseudocyst treated at Kyungpook National University Hospital from 1976 through 1994 were reviewed and analysed. The results are as follows : 1) The age distribution of these cases showed that 57.7% occurred in the 3rd and the 4th decades. The male to female ratio was 3.7 : 1 2) The etiology of the pseudocysts was pancreatitis in 46.2% of the cases and trauma, unknown etiology, pancreatic cancer and hyperlipidemia, in that order, in the other cases. 3) Abdominal pain was the most common symptom (86.4%); a palpable mass (65.4%), abdominal tenderness (65.3%) also occurred. 4) Abdominal C.T. and Ultrasonogram has a diagnostic accuracy as 100%, and U.G.I. showed a diagnostic accuracy of 76.5%. 5) Among the 52 cases, 30 cases received surgical treatment 13 cases were treated by percutaneous catheter drainage. 6) With respect to the operative procedure, internal drainage was performed in 18 cases (60%), external drainage in 8 cases (26.7%), excision in 3 cases (10.0%), and O & C in 1 case (3.3%). 7) Thirteen percutaneous catheter drainage procedures were performed, and the success rate was 92.3%.

Keyword

Pancreatic pseudocyst; Percutaneous catheter drainage

MeSH Terms

Abdominal Pain
Age Distribution
Catheters*
Drainage*
Female
Gyeongsangbuk-do
Hospital Records
Humans
Hyperlipidemias
Male
Membranes
Pancreatic Juice
Pancreatic Neoplasms
Pancreatic Pseudocyst*
Pancreatitis
Surgical Procedures, Operative
Ultrasonography