1. [Methods of intraductal pancreatic hypertension elimination].
- Author
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Propp AR, Poluéktov VL, Lobanov VG, Arestovich RA, Prankevich NN, Astankov RA, and Kuz'menko VV
- Subjects
- Adult, Anastomosis, Roux-en-Y adverse effects, Anastomosis, Roux-en-Y methods, Decompression, Surgical adverse effects, Decompression, Surgical methods, Drainage adverse effects, Drainage methods, Female, Humans, Male, Pancreatic Cyst complications, Pancreatic Cyst physiopathology, Pancreatic Ducts diagnostic imaging, Pancreatic Ducts physiopathology, Pancreaticojejunostomy adverse effects, Pancreatitis, Chronic etiology, Pancreatitis, Chronic physiopathology, Postoperative Complications, Pressure adverse effects, Reoperation, Tomography, X-Ray Computed, Treatment Outcome, Pancreatic Cyst surgery, Pancreatic Ducts surgery, Pancreaticojejunostomy methods, Pancreatitis, Chronic surgery
- Abstract
The study is devoted to the surgical treatment of benign pancreatic cysts. Results of the internal drainage of pancreatic duct ul system in 76 patients were analyzed. Pancreaticoenterostomy combined with partial pancreatic resection in 21 cases, was performed in 53 patients. The rest 23 patients required no enterostomy of the main pancreatic duct. The lateral pancreaticojejunostomy was performed in 48 patients, of whom 32 patients had an original reconstructive circulation of the intestinal loop applied. By the width of the pancreatic duct less then 5 mm, the original method of resection of the front surface of the pancreas was applied (n=5). The bilateral pancreaticojejunostomy was performed in 3 patients with the pancreatic duct width less then 5 mm and diastasis of the latter. There was no postoperative lethality; complicated postoperative period required reoperation in 5,3%. Long-term results were considered good in 74,6%, satisfactory in 16,4% and unsatisfactory in 9% of patients.
- Published
- 2011