Internal Drainage of Pseudocysts of the Pancreas

1 September 1965

journal article
research article
Published by American Medical Association (AMA) in Archives of Surgery

Vol. 91 (3) , 480-484
https://doi.org/10.1001/archsurg.1965.01320150110020

Abstract

THE TREATMENT of pancreatic pseudocysts has undergone considerable evolution since the first attempts at surgical treatment by Le Dentu¹⁹ in 1862 (aspiration) and by Lücke and Klebs²⁰ in 1866 (external drainage), both of which ended fatally. Bozeman¹ successfully removed a cyst weighing 20½ lb from the tail of the pancreas without ligating a blood vessel in 1882, a remarkable feat even now. Excision is no longer the treatment of choice. The inflammatory nature, lack of a true capsule, adherence to vital structures, and frequent location of the pseudocyst in the head of the pancreas preclude successful excision most of the time. Meyer and associates²³ and Murphy and Hinkamp²⁶ reported a total of 66 cases of pseudocysts; in five of these, treatment was by excision. In a review of the literature between 1945 and 1958, Warren and co-workers³⁸ found 48 cases (10%) in which excision

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