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KMID : 0390119960360010053
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Journal of Pusan Medical College
1996 Volume.36 No. 1 p.53 ~ p.62
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Surgical Experiences of Benign Pancreatic Diseases
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Abstract
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Nineteen patients with benign pancreatic diseases were managed with surgical treatment in Pusan Medical Center during three years from September 1990 to September 1993, and the results were reviewed retrospectively.
@ES The results were as follows:
@EN 1) This report includes five cases of severe (one hemorrhagic and four necrotizing) acute pancreatitis, eight cases of pancreatic injury, three cases of pancreatic pseudocyst and three cases of chronic pancreatitis.
2) The most prevalent etiologic factor of benign pancreatic disease except pancreatic injury was alcohol ingestion.
3) Five cases with acute pancreatitis were represented more than 4 of Ranson's prognostic factors and were effectively managed by surgical operation except case of death which had more than 6 of Ranson's prognostic factor. The techniques of
surgical
methods were external drainage with debridement or necrosectomy
4) The etiology of pancreatic injury were blunt abdominal trauma in seven cases and surgical complication in one case. The sites of injury were head in three cases, body in three cases and tail in one case. The operative methods were drainage
(all
cases), distal pancreatectomy (three cases), triple ostomy (one case) and pancreaticoduodenectomy (one case)
5) The sites of pancreatic pseudocysts were body in two cases, head in one case. The operative methods were as follows: excision in one case, external drainage in one case and cystojejunostomy in one case.
6) Three cases with the chronic pancreatitis were diagnosed by intraoperative finding.
7) In conclusion, the most reliable treatment for benign pancreatic disease is seemed to be an early surgical intervention if it is indicated.
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