TRANSCUTANEOUS DRAINAGE OF PANCREATIC PSE UDOCYSTS UNDER CONTROL OF USE AND ROENTGENOTELEVISION

The method of transcutaneous sanation of pancreatic pseudocysts under control of USE and CT has developed quite widely in the recent years a nd is applied in clinical practice. In the period from 1987 to May 199 3 thirty-three patients underwent transcutaneous drainage (TD) of panc reatic cysts at the Burdenko Facultative Surgical Clinic, MMA; a total of 36 procedures were performed. In all cases TD was conducted under control of USE and roentgenotelevision (RTV) by Seldinger's method or- with various types of stylet catheters, The transperitoneal approach w as preferable in cysts of the head, in cysts of the body of the gland hze transgastric approach was used under control of gastroscopy for la ter attempt to accomplish transcutaneous cystogastrostomy. Contrast ex amination of the cyst immediately after puncture revealed its connecti on with the pancreatic duct (PD). Fistulography was repeated every 5-7 days. In the absence of a cystopancreatic fistula the cyst was sclero sed with 96-degrees etzyl alcohol. Complications were encountered in 1 1 % of cases and a recurrent cyst developed in one patient. The TD met hod under control of USE and RTV is effective in the treatment of panc reatic cysts attended by a low incidence of complications. A large siz e of the cyst, its infection or connection with the pancreatic duct ar e not contraindications for TD.