Kokhanenko, N. Yu.; Artem'eva, N. N.; Shiryaev, Yu. N.; Petrik, S. V.
September 2015
Vestnik Sankt-Peterburgskogo Universiteta, Seriia 11: Medicina;2015, Issue 2, p8
Academic Journal
During the 12 years (2000-2012), 196 patients with chronic pancreatitis were operated on. The age range was 17-68 years. The need for operations were as follows: breakthrough pseudocysts in the hollow organ was observed in 15 (7,7%) patients (in pleural cavity -- 7, in duodenum -- 3, in choledoch -- 2, in stomach -- 2, in jejunum -- 1), distribution of pc diagnosed in 6 (3,0%), pseudoaneurisms in 13 (6,6%), abscesses and infected pc in 49 (25,0%) cases, surgeries performed in patients with pseudoaneurisms were next: endovascular radiologic embolization in 9 cases and laparotomy in 4 cases: in 2 -- suturing of the bleeding source, in 1 -- pancreatoduodenal resection and in 1 -- tamponade of the pseudocyst. We formed cystodigestive anastomosis in 20 (10,2%) cases when detected pseudocyst, pancreatic resection performed in 30 (15,3%) cases (pancreatoduodenal resection -- 11, resection of the pancreatic head -- 5, resection of the body of the pancreas-- 3, corporocaudal resection-- 11). When an infected cyst or abscess is detected (49 (25,0%) cases) we drained them out in conjunction with external drainage of pancreatic duct during its expansion (37 (18,9%) cases). In other cases, pancreaticojejunostomy was performed. Three patients died.


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