Pancreatic Pseudocyst
Pancreatic Pseudocyst
Pancreatic Pseudocyst
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<strong>Pancreatic</strong> <strong>Pseudocyst</strong> www.downstatesurgery.orgIndications for Surgical TreatmentOptionsExternal Drainage Internal Drainage <strong>Pancreatic</strong> ResectionFree Rupture Mature cysts (>1cm) Cysts in body & tailw/poss malignancyGrossly infectedUnstable paitentsw/bleedingCyst wall not thickenough to allow ananasomosis-Open drainage-- percutaneous drainage<strong>Pancreatic</strong> Duct strictureor leakBenign cyst wall biopsy-Cystgastrostomy-- cystdudodenostomy-Roux-en-YcystjejunostomyComplex cystic diseasesof the head<strong>Pancreatic</strong>pseudoaneurysm-Distal pancreatectomyto include cyst-pancreaticoduodenectomy
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