Abstract:Objective：To explore the appropriate strategy for the management of pancreatic pseudocyst. Methods：A total of eighty-nine patients with pancreatic pseudocyst from Jan 2000 to Jan 2005 managed in Xiangya hospital were involved in this study for retrospective analysis. Conservative management, percutaneous tube drainage and operation therapies were choicend according to the time of pseudocyst formation, the thickness of pseudocyst wall and the location of the pseudocyst. Tweenty patients were cured conservatively; 7 patients underwent percutaneous tube drainage. External drainage was performed in 8 patients, internal drainage in 45, and cyst excision in 9. Results：There was no operative mortality. All patients were followed up for 3 months to 5 years. The incidence of complications in this patients was 15.9%( 11/69), with a recurrence rate of 5.6 %( 5/89). Conclusions：The treatment of pancreatic pseudocysts varied under different conditions. Pancreatic pseudocysts without complications should be treated conservatively. External drainage should be chosen in emergency operation. When the cyst is matured, internal drainage gives good results.