Pancreatita æi complicaåiile ei reprezintã o temã actualã de real interes multidisciplinar, care creeazã o altã viziune asupra patologiei pancreatice, cu deschiderea unei “noi ere chirurgicale” de abordare a pseudochistului de pancreas. Lucrarea de faåã îæi propune stabilirea unui algoritm diagnostic æi elaborarea unui management chirurgical raåional, prin corelarea tehnicilor chirurgicale cu momentul optim operator determinat de gradul de maturaåie al peretelui pseudochistului, astfel încât rata complicaåiilor æi recidivelor sã fie minimã. Studiul nostru, efectuat între anii 20052010, pe un lot de 121 de pacienåi având diagnosticul de pseudochist de pancreas, se încadreazã în categoria studiilor epidemiologice observaåionale de tip cohorta retrospectiv. Din analiza rezultatelor histopatologice, s-a realizat o clasificare a pseudochistelor pancreatice în pseudochiste imature (1-3 luni), pseudochiste în curs de maturare (3-6 luni) æi pseudochiste mature (6-12 luni), care permite o nouã abordare a managementului chirurgical prin abstenåie chirurgicalã în faza imaturã, cu monitorizare activã æi intervenåie chirurgicalã paleativã în momentul apariåiei complicaåiilor, sau intervenåii chirurgicale curative - derivaåii digestive în fazele mature de dezvoltare ale peretelui pseudochistic.

Surgical management of complications of pancreatitis and pancreatic pseudochist it is a current topic of real interest multidisciplinary, and the development and use of increasingly large scale of new diagnostic methods get another vision of pancreatic pathology, which creates open a new surgical era of pseudochist approach pancreas. This paper proposes an algorithm aimed at establishing the diagnosis and development of a rational surgical management, surgical techniques by linking optimal moment operator determined by the degree of maturation of pseudochist wall, so that complications and recurrence rate is minimal. Our study, conducted between 2005-2010 on a group of 121 patients diagnosed with pancreatic pseudocyst, fall within the observational epidemiological studies.The results were analyze the classification of pancreatic pseudocysts pseudochistelor immature (1-3 months after onset) - ongoing pseudocysts maturation (3-6 months after onset), and mature pseudocysts (6-12 months after onset) that allows a new approach to surgical management of surgical abstention in the immature stage active monitoring and palliative surgery when you have complications or curative surgery, digestive derivatives in mature stages of development of wall pseudochistic.