:Review of 24 Cases

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Our experience with pancreatic cysts was reviewed. There were 24 patients (15 male and 9 female) during the period of 1965 to 1980. Eighteen patients with pancreatic cysts were treated operatively, and three patients were treated conservetively. In the other three patients, only the operations for concomitant lesions were performed, and pancreatic cysts were left.Fifteen cysts were verified by the histological examination. These were 11 pseudocysts, 3 retention cysts, and one cystadenocarcinoma. Alcoholism, biliary disease and abdominal trauma were the most common antecedent conditions of the patients with pseudocysts and retention cysts.The image diagnosis of pancreas such as retrograde pancreatography, and ultrasonnic scanning was valuable for the diagnosis of these lesions. Operative procedures for pancreatic cysts included internal drainage in 14, complete resection in three, and external drainage in one. The follow up data were collected from 6 months to 15 years after the time of surgery. Five patients died 6 months to 2 years after the operation. Two of the five patients had benign cysts, nevertheless they died of some pancreatic disorders.
財団法人日本消化器病学会の論文