Clinical study on cystogastrostomy and Roux-en-Y-type cystojejunostomy in the treatment of pancreatic pseudocyst: A single-center experience

The main purpose is to compare the efficacy of cystogastrostomy (CG) and Roux-en-Y-type cystojejunostomy (RCJ) in the treatment of pancreatic pseudocyst (PPC), and to explore the risk factors of recurrence and complications after internal drainage.Two hundred eight patients undergoing either CG or R...

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Bibliographic Details
Published in:Medicine (Baltimore) 2021-03, Vol.100 (10), p.e25029-e25029
Main Authors: Ye, Jun, Wang, Lan, Lu, Shan, Yang, Dujiang, Hu, Weiming, Lu, Huimin, Zhang, Yi
Format: Article
Language:English
Subjects:
Adult
Anastomosis, Roux-en-Y - adverse effects
Blood Loss, Surgical
Drainage - adverse effects
Drainage - methods
Female
Gastrostomy - adverse effects
Gastrostomy - methods
Humans
Jejunostomy - adverse effects
Jejunostomy - methods
Male
Middle Aged
Observational Study
Operative Time
Pancreatic Pseudocyst - etiology
Pancreatic Pseudocyst - mortality
Pancreatic Pseudocyst - surgery
Pancreatitis - complications
Pancreatitis - epidemiology
Pancreatitis - surgery
Postoperative Complications - epidemiology
Postoperative Complications - etiology
Recurrence
Reoperation
Retrospective Studies
Risk Factors
Treatment Outcome
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Summary:The main purpose is to compare the efficacy of cystogastrostomy (CG) and Roux-en-Y-type cystojejunostomy (RCJ) in the treatment of pancreatic pseudocyst (PPC), and to explore the risk factors of recurrence and complications after internal drainage.Two hundred eight patients undergoing either CG or RCJ for PPC Between January 1, 2013and February 1, 2019, at West China Hospital of Sichuan University were retrospectively analyzed. The cure rate, complication rate and related factors were compared between the 2 groups.Two hundred eight patients with PPC underwent either a CG (n = 119) or RCJ (n = 89). The median follow-up time was 42.7 months. Between the 2 cohorts, there were no significant differences in cure rate, reoperation rate, and mortality (all P > .05). The operative time, estimated intraoperative blood loss, install the number of drainage tubes and total expenses in CG group were lower than those in RCJ group (all P 
ISSN:0025-7974
1536-5964
DOI:10.1097/MD.0000000000025029