The Role of Pancreatic Resection in the Treatment of Pancreatic Pseudocysts

Thomas Howard, Christopher A. Lueking, Eric A. Wiebke, Howard G. Smith, James A. Madura

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

Complicated pancreatic pseudocysts, including multiple pseudocysts, those that have failed prior internal or external drainage, those with associated biliary or pancreatic duct strictures, and those where the diagnosis of cystic neoplasm cannot be excluded, pose unique problems in terms of treatment by standard internal or external drainage techniques. In the series reported herein, pancreatic resection (pylorus-sparing pancreaticoduodenectomy or distal pancreatectomy) was used to treat patients with these complicated pseudocysts resulting in a 59% morbidity rate, 3% mortality rate, and 6% recurrence rate. Results from a collective series of 152 patients from the literature support these findings. Although pancreatic resection has a limited role in the management of patients with uncomplicated pancreatic pseudocysts, it is the treatment of choice in patients with complicated pancreatic pseudocysts.

Original languageEnglish
Pages (from-to)205-212
Number of pages8
JournalJournal of Gastrointestinal Surgery
Volume1
Issue number3
StatePublished - May 1997

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Pancreatic Pseudocyst
Drainage
Pancreatectomy
Pancreaticoduodenectomy
Pancreatic Ducts
Pylorus
Therapeutics
Pathologic Constriction
Morbidity
Recurrence
Mortality
Neoplasms

ASJC Scopus subject areas

  • Surgery

Cite this

Howard, T., Lueking, C. A., Wiebke, E. A., Smith, H. G., & Madura, J. A. (1997). The Role of Pancreatic Resection in the Treatment of Pancreatic Pseudocysts. Journal of Gastrointestinal Surgery, 1(3), 205-212.

The Role of Pancreatic Resection in the Treatment of Pancreatic Pseudocysts. / Howard, Thomas; Lueking, Christopher A.; Wiebke, Eric A.; Smith, Howard G.; Madura, James A.

In: Journal of Gastrointestinal Surgery, Vol. 1, No. 3, 05.1997, p. 205-212.

Research output: Contribution to journalArticle

Howard, T, Lueking, CA, Wiebke, EA, Smith, HG & Madura, JA 1997, 'The Role of Pancreatic Resection in the Treatment of Pancreatic Pseudocysts', Journal of Gastrointestinal Surgery, vol. 1, no. 3, pp. 205-212.
Howard, Thomas ; Lueking, Christopher A. ; Wiebke, Eric A. ; Smith, Howard G. ; Madura, James A. / The Role of Pancreatic Resection in the Treatment of Pancreatic Pseudocysts. In: Journal of Gastrointestinal Surgery. 1997 ; Vol. 1, No. 3. pp. 205-212.
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