췌장가성낭종의 임상적 고찰

Title
췌장가성낭종의 임상적 고찰
Other Titles
A Clinical Study of 40 Gases of Pancreatic Prcudocyst
Authors
김인호손수상강중신
Issue Date
1987
Publisher
Keimyung University School of Medicine
Citation
Keimyung Medical Journal, Vol.6(2) : 346~352, 1987
Abstract
Pancreatic pseudocyst occurs rarely in the patients with pancreatitis secondary to chronic alcohol abuse; trauma and biliary disease. Recently with the advent of the computerized tomography and ultrasonography; diagnostic accuracy and incidence has been improved. It is common that unless it resolves within 6 weeks; surgical treatment is indicated. This study consists of analysis of 40 cases of pancreatic pseudocyst which were diagnosed and treated at the department of surgery; Keimyung University School of Medicine; Taegu; Korea; during 10 years from January 1976 to December 1985. The following results were obtained: 1) The most common age group was in the 5th decade (27.5%) and male to female ratio was 4 :1. 2) Among the etiologic factors of pseudocysts; abdominal trauma was the leading cause (42.5%) and alcoholism (32.5%); unknown (12.5%); biliary disease (7.5%) and malignancy (5%) were in order of frequency. 3) The most common symptom and sign were abdominal pain (87.5%) and abdominal mass (50%). 4) Diagnostic accuracy of the abdominal CT were 100%; ultrasonogram 88.9%; and UGI 78.6%. 5) The location of the pseudocyst was in the body of the pancreas in 26 cases (65%); head in 8 cases (20%); tail in 4 cases (10%); and multiple in 2 cases (5%). 6) Among 40 cases; 8 cases were resolved spontaneously during the follow-up. Of 32 remaining cases; internal drainage was performed in 22 cases (68.8%); external drainage in 8 cases (25%) and resection in 2 cases (6.2%). Among the internal drainage; cystogastrostomy was carried out in 14 cases and cystojejunostomy in 8 cases. 7) The most common postoperative complications were wound infection and pleural effusion in 4 cases respectively and pancreatic fistula in 2 cases; pneumonia in 2 cases and recurrent pseudocyst in 2 cases. Operaitve mortality was 6.25%.
URI
http://kumel.medlib.dsmc.or.kr/handle/2015.oak/2516
Appears in Collections:
학술지 > 1987
Files in This Item:
6-346.pdf(343.82 kB)Download
Export
RIS (EndNote)
XLS (Excel)
XML


qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

BROWSE