目的    在内镜、腹腔镜治疗胰腺假性囊肿阶梯方案指导下，探讨内镜、腹腔镜联合治疗胰腺假性囊肿的个体化策略。 方法    回顾性分析2000年3月至2010年12月天津市微创外科中心按照内镜、腹腔镜联合治疗胰腺假性囊肿阶梯方案治疗68例病人的临床资料，包括一般资料、治疗方式、成功率、复发率、并发症。结果    超声内镜引导经胃囊肿内引流28例，腹腔镜囊肿-胃吻合12例，腹腔镜囊肿-空肠Roux-en-Y吻合5例，ERPD（内镜置入5Fr胰管支架）23例，超声内镜内引流术后3例出现发热，1例术后出现腹膜炎，其他治疗方式未见并发症。随访最短6个月至9年，获访率82%（56/68），未出现复发。结论    内镜、腹腔镜联合使胰腺假性囊肿的治疗方案更加微创化，可以形成个体化的治疗策略。

Endoscopic，laparoscopic individualized treatment for pancreatic pseudocysts: An analysis of 68 cases                          YUAN Hai-cheng，QIN Ming-fang，WU Yu，et al. Minimally Invasive Surgery Center, Tianjin Nankai Hospital，Tianjin 300100，China
Corresponding author：YUAN Hai-cheng，E-mail：ironyhc2002@Gmail.com
Abstract    Objective    To investigate endoscopic，laparoscopic individualized treatment strategies for pancreatic pseudocysts based on the guidance of endoscopic，laparoscopic treatment program of pancreatic pseudocysts. Methods The clinical data of 68 cases of pancreatic pseudocysts treated in accordance with endoscopic，laparoscopic treatment program of pancreatic pseudocysts between March 2000 and December 2010 in Tanjin Minimally Invasive Surgery Center were analyzed retrospectively. The data included the general information，treatment methods, success rate，recurrence rate and complications. Results    There were 28 cases of EUS-guided through the stomach cyst drainage，12 cases of laparoscopic cyst-gastric anastomosis，5 cases of laparoscopic cyst-jejunal Roux-en-Y anastomosis，23 cases of ERPD (5Fr pancreatic duct stent placed by endoscopy). Three cases had fever after EUS internal drainage. One case had peritonitis. There was no complication in other forms of treatment. Follow-up was last from six months to nine years in 82% (56/68) of cases without recurrence. Conclusion    The endoscopic，laparoscopic treatment for pancreatic pseudocyst is more minimally invasive，can become individualized treatment strategies.