Chronic pancreatitis: kinds of operative interventions

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.

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