Short-and long-term results of distal pancreatectomy
| Autor: | A. S. Ryzhikh, A. G. Istomin, V. N. Barykov, R. R. Abdrashitov |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
business.industry Wirsung duct Long term results Anastomosis medicine.disease Surgery 03 medical and health sciences 0302 clinical medicine medicine.anatomical_structure Pancreatic fistula 030220 oncology & carcinogenesis medicine 030211 gastroenterology & hepatology business Distal pancreatectomy Surgical treatment Pancreas Pathological |
| Zdroj: | Perm Medical Journal. 36:6-13 |
| ISSN: | 0136-1449 |
| Popis: | Aim. To assess the results of distal pancreatectomy for malignant and benign tumors and chronic pancreatitis complications. Materials and methods. Forty-seven patients, who underwent distal pancreatectomy, were under observation during the period from 01.01.2008 to 28.02.2019. Results. The long-term results of surgical treatment demonstrated the following complications: pancreatic fistulas – 15 % of observations, pancreatogenic diabetes mellitus – 12.7 %, subphrenic abscesses – 10 %. In the long-term period after the surgery – from 10 years and not less than one year – 30 patients were followed up, constituting 63.8 % of the total number. Conclusions. To prevent complications in the form of pancreatic fistula with pathological Wirsung duct dilatation more than 4–5 mm in diameter, it is necessary to form anastomosis between the pancreatic stump and the small bowel. |
| Databáze: | OpenAIRE |
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