Chronic pancreatitis: kinds of operative interventions
- Authors: Evtihova EJ1, Gagua AK1, Lebedeva OA1, Andrew JV2, Dudanov IP2
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Affiliations:
- Ivanovo state medical academy
- Petrozavodsk State University
- Issue: Vol 9, No 2 (2009)
- Pages: 98-102
- Section: Articles
- Published: 15.06.2009
- URL: https://journals.eco-vector.com/MAJ/article/view/9358
- DOI: https://doi.org/10.17816/MAJ9298-102
- ID: 9358
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Abstract
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.
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About the authors
E J Evtihova
Ivanovo state medical academy
A K Gagua
Ivanovo state medical academy
O A Lebedeva
Ivanovo state medical academy
J V Andrew
Petrozavodsk State University
I P Dudanov
Petrozavodsk State University
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