Laparoscopic treatment of pancreatic pseudocyst

doi:10.3877/cma.j.issn.1674-6899.2021.04.014

Abstract

Abstract:

Pancreatic pseudocysts are most commonly benign cystic lesions of the pancreas. The cyst wall is composed of granulation tissue and fibrous tissue.often secondary to acute and chronic pancreatitis and pancreatic injury.There are various treatments for pseudocysts, but lack of standardized guidelines.The rise of endoscopic therapy and laparoscopic therapy has provided safer, more effective and minimally invasive options for the treatment of pancreatic pseudocysts.Studies have shown that the first operation success rate of laparoscopic surgery is higher than that of endoscopic treatment. With the continuous development of laparoscopic surgery in recent years, more medical centers have chosen laparoscopic internal drainage to treat pancreatic pseudocysts. This article will discuss the different surgical methods, operation timing and advantagesof laparoscopic treatment of pancreatic pseudocysts.

Key words: Pancreatic pseudocysts, Laparoscopic, Surgery, Internal drainage

Gang Long, Yue Gao, Aidong Li, Lingwei Lyu, Zhengtian Li. Laparoscopic treatment of pancreatic pseudocyst[J]. Chinese Journal of Laparoscopic Surgery(Electronic Edition), 2021, 14(04): 248-253.

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作者	时间	操作类型	例数	成功	并发症	死亡	再发
Aljarabah和Ammori^{[ 24 ]}	2007	经腹腔镜	118	116(98.3)	5(4.2)	0(0.0)	3(2.5)
		经内镜	569	460(80.8)	68(12.0)	2(0.4)	82(14.4)
Melman等^{[ 25 ]}	2008	经腹腔镜	16	15(93.8)	5(31.3)	0(0.0)	未报道
		经内镜	45	38(84.6)	7(15.6)	0(0.0)	未报道
元海成等^{[ 26 ]}	2012	经腹腔镜	17	17(100.0)	0(0.0)	0(0.0)	0(0.0)
		经内镜	51	50(98.0)	4(7.8)	0(0.0)	0(0.0)
Redwan等^{[ 27 ]}	2017	经腹腔镜	4	4(100.0)	1(25.0)	0(0.0)	0(0.0)
		经内镜	35	32(91.4)	3(8.6)	0(0.0)	3(8.6)
合计		经腹腔镜	155	152(98.1)	11(7.1)	0(0.0)	3(2.2)^a
		经内镜	700	580(82.9)	82(11.7)	2(0.3)	85(13.0)^a

作者	时间	操作类型	例数	成功	并发症	死亡	再发
Aljarabah和Ammori^{[ 24 ]}	2007	经腹腔镜	118	116(98.3)	5(4.2)	0(0.0)	3(2.5)
		经内镜	569	460(80.8)	68(12.0)	2(0.4)	82(14.4)
Melman等^{[ 25 ]}	2008	经腹腔镜	16	15(93.8)	5(31.3)	0(0.0)	未报道
		经内镜	45	38(84.6)	7(15.6)	0(0.0)	未报道
元海成等^{[ 26 ]}	2012	经腹腔镜	17	17(100.0)	0(0.0)	0(0.0)	0(0.0)
		经内镜	51	50(98.0)	4(7.8)	0(0.0)	0(0.0)
Redwan等^{[ 27 ]}	2017	经腹腔镜	4	4(100.0)	1(25.0)	0(0.0)	0(0.0)
		经内镜	35	32(91.4)	3(8.6)	0(0.0)	3(8.6)
合计		经腹腔镜	155	152(98.1)	11(7.1)	0(0.0)	3(2.2)^a
		经内镜	700	580(82.9)	82(11.7)	2(0.3)	85(13.0)^a

作者	时间	操作类型	例数	成功	并发症	死亡	再发
Heider等^{[ 41 ]}	1999	囊肿胃吻合	10	7(70.0)	未报道	0(0.0)	3 (30.0)
		囊肿空肠吻合	28	24(85.7)	未报道	0(0.0)	4 (14.3)
Yin^{[ 42 ]}	2005	囊肿胃吻合	8	8(100.0)	2(25.0)	0(0.0)	0(0.0)
		囊肿空肠吻合	4	4(100.0)	1(25.0)	0(0.0)	1(25.0)
Palanivelu等^{[ 43 ]}	2007	囊肿胃吻合	92	92(100.0)	3(3.3)	0(0.0)	1(1.1)
		囊肿空肠吻合	8	8(100.0)	1(12.5)	0(0.0)	0(0.0)
Martínez-Ordaz等^{[ 44 ]}	2016	囊肿胃吻合	11	11(100.0)	4(36.4)	0(0.0)	1(9.1)
		囊肿空肠吻合	96	96(100.0)	20(20.8)	1(1.0)	5(5.2)
Redwan等^{[ 27 ]}	2017	囊肿胃吻合	27	27(100.0)	未报道	0(0.0)	0(0.0)
		囊肿空肠吻合	9	9(100.0)	未报道	0(0.0)	0(0.0)
Ye等^{[ 34 ]}	2021	囊肿胃吻合	119	110(92.5)	13 (10.9)	0(0.0)	9 (7.5)
		囊肿空肠吻合	89	78(87.6)	20 (22.5)	1 (1.1)	10 (11.2)
合计		囊肿胃吻合	267	255(95.5)	22(9.6)^a	0(0.0)	14(5.2)
		囊肿空肠吻合	234	219(93.6)	42(21.3)^a	2(0.8)	19(8.1)

作者	时间	操作类型	例数	成功	并发症	死亡	再发
Heider等^{[ 41 ]}	1999	囊肿胃吻合	10	7(70.0)	未报道	0(0.0)	3 (30.0)
		囊肿空肠吻合	28	24(85.7)	未报道	0(0.0)	4 (14.3)
Yin^{[ 42 ]}	2005	囊肿胃吻合	8	8(100.0)	2(25.0)	0(0.0)	0(0.0)
		囊肿空肠吻合	4	4(100.0)	1(25.0)	0(0.0)	1(25.0)
Palanivelu等^{[ 43 ]}	2007	囊肿胃吻合	92	92(100.0)	3(3.3)	0(0.0)	1(1.1)
		囊肿空肠吻合	8	8(100.0)	1(12.5)	0(0.0)	0(0.0)
Martínez-Ordaz等^{[ 44 ]}	2016	囊肿胃吻合	11	11(100.0)	4(36.4)	0(0.0)	1(9.1)
		囊肿空肠吻合	96	96(100.0)	20(20.8)	1(1.0)	5(5.2)
Redwan等^{[ 27 ]}	2017	囊肿胃吻合	27	27(100.0)	未报道	0(0.0)	0(0.0)
		囊肿空肠吻合	9	9(100.0)	未报道	0(0.0)	0(0.0)
Ye等^{[ 34 ]}	2021	囊肿胃吻合	119	110(92.5)	13 (10.9)	0(0.0)	9 (7.5)
		囊肿空肠吻合	89	78(87.6)	20 (22.5)	1 (1.1)	10 (11.2)
合计		囊肿胃吻合	267	255(95.5)	22(9.6)^a	0(0.0)	14(5.2)
		囊肿空肠吻合	234	219(93.6)	42(21.3)^a	2(0.8)	19(8.1)

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