Assessment of complications after cystogastrostomy and cystojunostomy

Abstract

Background. The number of patients with pancreatic cysts has recently been constantly increasing due to the progression of the number of patients with destructive forms of pancreatitis. Complications after surgical interventions for pancreatic cysts occur in 30- 40%. The purpose of the research is to analyze the complications in patients with pancreatic cysts after open surgery. Materials and methods. We observed 68 patients who underwent open surgical interventions: cystogastrostomy and cystojejunostomy. All patients with pancreatic cysts were divided into 2 groups depending on the type of surgery performed. First group included 27 patients who underwent cystogastrostomy (29 %), second group – 41 patients with cystojejunostomy (81 %). Results. In first group after surgery, complications were diagnosed in 8 cases (29.6 %): postoperative pancreatitis (5 – 18.5 %), cyst recurrence (3 – 11.1 %). In second group, complications after surgery occurred in 7 patients (17.1 %): postoperative pancreatitis in 4 cases (9.8 %), recurrent cysts in 3 cases (7.3 %). Conclusions. Cystojejunostomy is associated with fewer complications than cystogastrostomy.

Keywords

• pancreatic cyst
• chronic pancreatitis
• cystogastrostomy
• cystojejunostomy