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首页> 外文期刊>Endoscopy: Journal for Clinical Use Biopsy and Technique >Combined percutaneous-endoscopic pancreatic pseudocyst drainage--a new technique.
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Combined percutaneous-endoscopic pancreatic pseudocyst drainage--a new technique.

机译：经皮内镜联合胰腺假性囊肿引流术-一种新技术。

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摘要

Surgical drainage has been the traditional approach to treating pancreatic pseudocysts. Percutaneous and endoscopic treatment of pancreatic pseudocyst were recently suggested as an alternative to surgery. In order to avoid the difficulties that can be observed in some patients in the percutaneous or endoscopic management of pancreatic pseudocysts we have used a combined procedure. We have treated by the "rendezvous" technique two patients suffering from pancreatic fistula complicating pancreatic pseudocysts. A percutaneous-endoscopic approach was used to place an internal stent between the pseudocyst and the duodenum. We have applied the same combined approach to the main pancreatic duct that is usual for bile duct obstruction without noticeable complications. Although application of this technique will be very limited, we advocate in the future the combined approach to treating pancreatic pseudocyst when there is a fistula between the fluid collection and pancreatic duct, and the downstream main pancreatic duct is obstructed, preventing use of the transpapillary approach.
机译：外科引流术已成为治疗胰腺假性囊肿的传统方法。最近建议经皮内镜治疗胰腺假性囊肿作为手术的替代方法。为了避免某些患者在经皮或内镜下处理胰腺假性囊肿时可能遇到的困难，我们使用了联合程序。我们用“交会”技术治疗了两名患有胰瘘并发胰腺假性囊肿的患者。使用经皮内镜方法在假性囊肿和十二指肠之间放置内部支架。我们对主胰管采用了与胆管阻塞相同的联合治疗方法，没有明显的并发症。尽管此技术的应用将非常有限，但我们建议将来在液体收集物与胰管之间存在瘘管且阻塞了主胰下游管的情况下，采用联合治疗胰腺假性囊肿的方法，以防止使用经乳头入路。

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