MODERN APPROACHES TO THE DIAGNOSIS AND TREATMENT OF UNFORMED AND FORMED CYSTS OF THE PANCREAS

Authors

DOI:

https://doi.org/10.11603/2414-4533.2024.3.14920

Keywords:

pancreatic cyst, surgical management, endoscopic cystgastrostomy

Abstract

The aim of the work: to improve the results of surgical treatment of pancreatic cysts by retrospective analysis of the clinical course, assessment of morphological classification and optimal choice of surgical treatment of cysts.

Materials and Methods. The study was conducted on the basis of the Сlinical Highly Specialized Surgical Center with Minimally Invasive Technologies of the Vinnytsya Regional Hospital. To achieve the purpose, an in-depth analysis of the results of treatment of 60 patients who underwent operations for pancreatic cysts between 2018 and 2023 was conducted.

Results and Discussion. The study included 60 patients who underwent surgery for pancreatic cysts: in 2018 – 6 patients, in 2019 – 7, in 2020 – 10, in 2021 – 11, in 2022 – 9 and in 2023 – 17 patients, which indicates the preservation of the tendency towards the growth of this pathology. By gender, men prevail – 43 (71.7 %) patients; women – 17 (28.3 %). The average age of patients is 48.1±1.1 years, which gives this problem a socio-economic significance. According to the data of radiological research methods, the most frequent localization is a combination of cysts in the head and body of the pancreas – in 20 (33.3 %) patients. According to the course, cysts were simple in 18 (30 %) patients, and in 42 (70 %) – complicated. All patients underwent surgical interventions, the share of which, according to our data, is 0.34 % of the total number of operations at the Center during the study period. Due to suppuration of cysts, 27 (45 %) patients underwent external drainage of pancreatic cysts. For 32 (53.3 %) patients, the method of surgical treatment was chosen to apply a cyst-enteroanastomosis on the excluded loop of the intestine according to Roux or an application of a cyst-enteroanastomosis with an entero-enteroanastomosis and a plug according to Shalimov. Another 1 (1.7 %) patient underwent endoscopic cyst-gastrostomy. There were no fatal consequences.

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Published

2024-09-02

How to Cite

SHAPRYNSKYI, V. O., KAMINSKYI, O. A., TAGEEV, V. R., MYRONYSHEN, Y. A., MAKAROV, V. M., CHERNYCHENKO, O. I., … VERBA, M. A. (2024). MODERN APPROACHES TO THE DIAGNOSIS AND TREATMENT OF UNFORMED AND FORMED CYSTS OF THE PANCREAS. Hospital Surgery. Journal Named by L.Ya. Kovalchuk, (3), 22–27. https://doi.org/10.11603/2414-4533.2024.3.14920

Issue

No. 3 (2024)

Section

ORIGINAL INVESTIGATIONS

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Copyright (c) 2024 В. О. ШАПРИНСЬКИЙ, О. А. КАМІНСЬКИЙ, В. Р. ТАГЕЄВ, Ю. А. МИРОНИШЕН, В. М. МАКАРОВ, О. І. ЧЕРНИЧЕНКО, С. С. СТУКАН, М. А. ВЕРБА

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