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October 1960

Pancreatic Pseudocysts: Report of Thirty-Five Cases

Author Affiliations

From the Department of Surgery, Cook County Hospital, Chicago.; Associate Surgeon Cook County Hospital, Clinical Associate in Surgery, Stritch School of Medicine (Dr. Murphy); Instructor in Surgery, University of Illinois College of Medicine (Dr. Hinkamp).

Arch Surg. 1960;81(4):564-568. doi:10.1001/archsurg.1960.01300040048009

The management of pancreatic pseudocysts remains a compelling problem. However, the additional experience gained by surgeons in the past decade has provided a greater insight into the proper treatment of this condition, and has made surgical opinions less divergent.

In 1949, one of us reporting with Meyer1 published a review of 31 cases of pancreatic pseudocysts. Since that time an additional 35 cases of this entity have been treated at Cook County Hospital. In 1949, the evidence appeared to support the conclusion that external drainage by marsupialization produced the best definitive results. Similar conclusions have been published by Brilhart and Priestly,2 as well as Fallis and Barron.3

The present study includes 35 cases. In reviewing our present series, we have seen the need to modify the opinions expressed in our first report.

Etiologic Factors  In the present series, 29, or 82.8%, had a definite history of alcoholism

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