[Chronic pancreatitis: resective and decompressive procedures].
| Autor: | Gal'perin EI, Diuzheva TG, Akhaladze GG, Nurutdinov RM |
|---|---|
| Jazyk: | ruština |
| Zdroj: | Khirurgiia [Khirurgiia (Mosk)] 2006 (8), pp. 4-9. |
| Abstrakt: | Purpose: Definition of resective and decompressive operations in chronic pancreatitis. Materials and Methods: A retrospective analyses of surgical management of 51 chronic pancreatitis patients is carried out. 24 patients underwent longitudinal pancreaticojejunostomy (PA), 27--pancreatic head ( PH) resective procedures: Beger--5, modified Frey (PH intraparenchimatose resection-- IR, supposing removal of fibrous masses from the ventral and greater part of the dorsal PH)--22. According to the character of the PH lesion the patients were divided in 3 groups: head dominant (13), total (11) and cystic pancreatitis (20). Results: One early postoperative death developed after reoperation for adhesive intestinal ileus in patient with PA. No mortality was noted after IR. Remote results in terms of 4.8+/-0,7 years were studied in 32 (71%) patients underwent PA and IR. IR lead to good and satisfactory results. After PA poor results came to 5 (29.5%). Conclusions: Combination of PH IR and PA is indicated in head dominant and total chronic pancreatitis patients. In cases of pseudocysts and dilation of the main pancreatic duct (>6-7 cm) decompressive variant of procedure cysto-pancreato-jejunostomy is preferable. |
| Databáze: | MEDLINE |
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