Tactic of surgical treatment of acute necrotizing pancreatitis

Authors

  • I. V. Khomiak O. Shalimov National Institute of Surgery and Transplantology, Kyiv
  • O. V. Rotar Bukovinian State Medical Universit, Chernivtsi
  • V. I. Rotar Bukovinian State Medical Universit, Chernivtsi
  • A. I. Khomiak O. Shalimov National Institute of Surgery and Transplantology, Kyiv
  • A. S. Palianytsia Bukovinian State Medical Universit, Chernivtsi
  • B. V. Petriuk Bukovinian State Medical Universit, Chernivtsi

DOI:

https://doi.org/10.11603/2414-4533.2020.2.10774

Keywords:

acute necrotizing pancreatitis, minimally invasive procedures, echo-videoendoscopy, multimodal step-up tactic

Abstract

The aim of the work: to estimate efficacy of proposed tactic of surgical treatment of acute necrotizing pancreatitis.

Materials and Methods. We analyzed results of treatment of 317 patients with acute necrotizing pancreatitis in whom proposed tactic of surgical interventions was used during 2013–2019. New onset of organ failure after operation, duration of intensive care treatment, postoperative complications and mortality rates were studied.

Results and Discussion. We used the step-up approach of surgical treatment which started from either diapeutic transcutaneous ultrasound-guided procedures in 48.2 % and endoscopic ultrasound-guided – in 46.2 % observations. Transcutaneous procedures were followed by less complication rate in acute necrotic collections cases whereas endoscopic interventions – in walled-off pancreatic necrosis patients. Wide laparotomic necrosectomies was applied in 14.5 % of patients after 4th week from onset. Overall mortality rate was 3.5 %, after interventional treatment – 6.5 %. Application of step-up tactic of surgical  treatment in patients with ANP decreases necessary in wide laparotomic necrosectomies and reduces level of postoperative complications.

References

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Published

2020-01-21

How to Cite

Khomiak, I. V., Rotar, O. V., Rotar, V. I., Khomiak, A. I., Palianytsia, A. S., & Petriuk, B. V. (2020). Tactic of surgical treatment of acute necrotizing pancreatitis . Hospital Surgery. Journal Named by L.Ya. Kovalchuk, (2), 97–101. https://doi.org/10.11603/2414-4533.2020.2.10774

Issue

No. 2 (2020)

Section

EXPERIENCE OF WORK

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