Clinical approaches to the treatment of postnecrotic cysts of pancreatic head

: A total of 110 surgical interventions were undertaken to treat 98 patients with pseudocysts of the head of pancreas. Internal drainage was performed in 72 patients including 43 laparatomies and 30 endoscopic procedures for the construction of cystodigestive anastomoses. Surgery with paracentesis drainage was practiced in 35 patients largely for the management of acute immature or suppurative cysts. Two patients underwent gastropancreatoduoudenal resection. Assessment of immediate and late outcomes of different methods of internal drainage demonstrated that endoscopic technique has an advantage over other modalities.