NECROTIZING PANCREATITIS: THE WAYS OF IMPROVEMENT OF SURGICAL TREATMENT

Authors

DOI:

https://doi.org/10.11603/ijmmr.2413-6077.2020.1.11008

Keywords:

necrotizing pancreatitis, lumbotomy, parapancreatic fiber, phlegmon of the retroperitoneal tissue, laparotomy, omentobursostomy

Abstract

Background. In connection with a steady increase of patients with destructive forms of acute pancreatitis, the proportion of which takes from 10-15 to 20-30%, despite of the wide range of treatments for non-biliary necrotizing pancreatitis, the rate of mortality reaches 80-90% in case of infected forms and needs further improvement of therapies.

Objective. The purpose of this study is to improve the results of treatment of patients with nonbiliary necrotizing pancreatitis, by optimizing surgical tactics.

Methods. The study examined the cases of 120 patients, whose age ranged from 22 to 83 years, including patients under the age of 50 years old who accounted for 60.0%. There were 80 males (66.7%) and 40 females (33.3%). Disease duration up to 24 hours was found in 36 (30.0%) patients, from 25 to 72 hours - in 25 (20.8%) individuals, more than 72 hours - in 49 (49.2%) patients.

Results. The research claims in non-necrotizing pancreatitis, left-sided retroperitoneal phlegmon often develops in 64.2% (mortality rate 26.0%) of patients, right-sided in 24.2% (mortality rate 6.8%) of patients, and bilateral - in 11, 6% (mortality rate 64.2%) individuals. Moreover, the highest mortality was observed with a combination of retroperitoneal phlegmon cellulose and abscess of the pancreas and/or omental bursa - 39.1%.

Conclusions. The use of various surgical interventions depending on the involvement in the pathological process of various sections of the abdominal cavity/ retroperitoneal space, which made it possible to reduce mortality and hospitalization time of patients in the hospital by 1.5-2 times is proposed.

Author Biography

O.V. Rozenko, DONETSK NATIONAL MEDICAL UNIVERSITY, MARIUPOL, UKRAINE

MD, Ph.D., Associate Professor, Department of Surgery, Endoscopy, Otorhinolaryngology and Reconstructive Surgery, Donetsk National Medical University

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Published

2020-11-10

How to Cite

Rozenko, O. (2020). NECROTIZING PANCREATITIS: THE WAYS OF IMPROVEMENT OF SURGICAL TREATMENT . International Journal of Medicine and Medical Research, 6(1), 43–49. https://doi.org/10.11603/ijmmr.2413-6077.2020.1.11008