| Title |
Kasos pseudocistų gydymas perkutaniniu drenavimu |
| Translation of Title |
Percutaneous drainage treatment of pancreatic pseudocysts. |
| Authors |
Radziminskas, Alfredas ; Razbadauskas, Artūras ; Stanislovaitis, Bronius |
| DOI |
10.15388/LietChirur.2004.3.2364 |
| Full Text |
|
| Is Part of |
Lietuvos chirurgija.. Vilnius. 2004, t. 2, Nr. 3, p. 228-239.. ISSN 1392-0995. eISSN 1648-9942 |
| Keywords [eng] |
acute necrotizing pancreatitis ; pancreatic pseudocysts ; percutaneous drainage |
| Abstract [eng] |
Background / objective Despite all merits of the new technologies and medications to medical practice, treatment of acute pancreatitis and its complications still remains problematic. The aim of our study was to evaluate early and one-year follow-up results of sonoscopically-guided percutaneous drainage of pancreatic pseudocysts in Klaipëda Seamen’s Hospital. Patients and methods From 1998 to 2003, 23 patients – 15 (65%) male and 8 (35%) female – were treated for pancreatic pseudocysts which have developed due to acute necrotic pancreatitis. A retrospective analysis of case histories, laboratory and instrumental examination data, morphologic peculiarities of pancreatic pseudocysts was done. Twelve study patients were interrogated using standard questionnaires and examined by ultrasound following one year after sonoscopically-guided percutaneous drainage procedure. Results We have performed 29 percutaneous drainage procedures of pancreatic pseudocysts under ultrasound control. Three pancreatic pseudocysts were drained in one patient. The percutaneous drainage procedure was done twice in three patients. Pancreatic pseudocysts involved the head of pancreas in the majority of patients. Mean drainage time was 21 days. Symptoms subsided in all the patients. Complications occurred in three patients (10%). The transverse colon has been damaged in one patients. Drainage tubes prolapsed out completely from the cavity of the pancreatic pseudocyst in two patients. The follow up showed that all patients felt well and there were no recurrencies of pancreatic pseudocysts. Conclusions Sonoscopically-guided percutaneous drainage is a suitable treatment of acute necrotizing pancreatitis complicated by progressive pancreatic pseudocysts. It is a safe, effective and cheap minimally invasive procedure. |
| Published |
Vilnius |
| Type |
Journal article |
| Language |
Lithuanian |
| Publication date |
2004 |
| CC license |
|
