Chronic pancreatitis: kinds of operative interventions

E J Evtihova; A K Gagua; O A Lebedeva; J V Andrew; I P Dudanov

doi:10.17816/MAJ9298-102

Medical academic journal ›› 2009, Vol. 9 ›› Issue (2) : 98 -102. DOI: 10.17816/MAJ9298-102

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Chronic pancreatitis: kinds of operative interventions

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Abstract

Results of surgical treatment 183 patients with a chronic pancreatitis are presented. Following kinds of operative interventions were carried out: longitudinal pancreatojejunal anastomosis - in 12 patients; longitudinal pancreatojejunal anastomosis and choledochoduodenal anastomosis - in 6; cystojejunal anastomosis - in 29; cystogastrical anastomosis - in 5; cystooentero - holedohoentero - and gastroenteroanastomosis - in 5; excision a pancreatic fistula - in 2, fistulojejunal anastomosis - in 2, allocation and excision a fistula to a pancreas with formation longitudinal pancreatojejunal anastomosis - in 6, distal pancreas resection - in 7 patients. Also in 109 patients the proximal pancreas resection is executed: in 86 - classical pancreatoduodenal resection, in 1 б - pylororetentive variant pancreatoduodenal resections and in 7 - a resection of a head of a pancreas. The general postoperative lethality has made 5,46%, after pancreatoduodenal resections - 8,8%. The remote results in terms from 2 till 14 years are analysed: researches have shown that surgical tactics of treatment of a chronic pancreatitis remains multiple. The kind of operative intervention is defined by the clinical form of a chronic pancreatitis. Process stabilisation in a pancreas after operation in many respects depends on timeliness of its performance.

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a chronic pancreatitis / surgical treatment / variants of the operations / the remote results

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E J Evtihova, A K Gagua, O A Lebedeva, J V Andrew, I P Dudanov. Chronic pancreatitis: kinds of operative interventions. Medical academic journal, 2009, 9(2): 98-102 DOI:10.17816/MAJ9298-102

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[1]	Гальперин Э. И., Дюжева Т. Г., Ахаладзе Г. Г., Нурутдинов Р. М. Хронический панкреатит, резецирующие и дренирующие вмешательства // Хирургия. 2006. № 8. С. 4-9.

[2]	Майстренко Н. А., Мовчан К. Н., Волков В.Г. Неотложная абдоминальная хирургия: практикум. СПб, 2002. 304 с.

[3]	Харнас С. С, Кулезнева Ю. В, Лачман Д. Дооперационная и интраоперационная диагностика хирургических заболеваний подлселудочной яселезы // Хирургия. 2003. №.8. С. 62-65.

[4]	Adam U., Makowiec F, Riediger H. et al. Risk factors for complication after pancreatic head resection //Am. J. Surg. 2004. Vol. 187. P. 2.

[5]	Beger H, Siech M. Chronic pancreatine. Current surgical therapy. A Harcourt Heals Sciens Company. 2001. P. 551-557.

[6]	Chaudhary A, Negi S, Masood S. et al. Complication after Frey,s procedure for chronic pancreatitis // Am. J. Surg. 2004. Vol. 188. P. 3-8.

[7]	Cooperman Ayram M. The pancreas revisted I: Diagnosis, chronic pancreatitis // Surg. Clin, of North Am. 2001. Vol. 81. P. 2.

[8]	Sarner M, Cotton P. B. Classification of pancreatitis // Gut. 1984. Vol. 25. P. 756-759.

[9]	Sarner M. Classification of chronic pancreatitis // Pancreatic Disease - Progress and Prospects / Eds. C. D. Johnson, C. Imrie. Heidelberg: Springer-Ver-lag, 1991. P. 171-176.