Surgical Treatment of Pancreatic Pseudocysts

Nefis Abdelnacer, Kouira Mouna, Ben Mabrouk Mohamed, Bel Hadj Hmida Mehdi, Mazhoud Jaafar, Derbel Fethi, Ben Ali Ali, Ajmi Salem, Arifa Nadia, Kadri Khaled, Moulahi Hassan, Naija Walid, Bel Hadj Hmida Ridha


To evaluate the clinical results of surgical treatment of pancreatic pseudocysts and specify the benefits of this treatment method. This is a retrospective study which collected seven cases of patients treated for pancreatic pseudocysts in Sahloul university hospital in Sousse between January 2009 and December 2011. There were five women and two men with a mean age of 49 years (range 27-78). Six patients had a history of acute pancreatitis and one case of acute pancreatitis on chronic pancreatitis. The average time of appearance of seudocysts was 5 months (range 2-12). Five of our patients underwent a conventional intervention which consisted of a transgastric cystogastrostomy and they had a favourable outcome. One patient had a percutaneous drainage for infection of the pseudocyst, which recurred two months later, the patient was operated in the same way with a favourable outcome. Postoperative morbidity is zero. The last patient died preoperatively due to cardiac decompensation. Surgical treatment of pancreatic pseudocysts is an effective technique with low morbidity. This technique has two major advantages: excellent control of hemostasis and the possibility of creating a large communication thus minimizing the risk of recurrence and infection.

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