THE APPLICATION OF OPEN SURGICAL TREATMENT IN PATIENTS WITН COMPLICATED PSEUDOCYSTS OF PANCREAS OF TYPE I

Authors

  • I. A. KRYVORUCHKO
  • N. М. HONCHAROVA

DOI:

https://doi.org/10.11603/2414-4533.2016.2.6407

Abstract

Results of surgical treatment of 32 patients with complicated acute pancreatic pseudocyst using open surgery were analyzed. Infection
of content of acute pseudocyst was observed in 49.4 %, bleeding into the cavity of pseudocysts – 16 %, compression of adjacent
organs – 16 %, pseudocyst perforation – 11.1 %, jaundice – 5 %, panсreatic fi stulas – 2.5 %. For the treatment of patients with
organ dysfunction (SOFA >8) in patients with mini-invasive methods used for the purpose pseudocyst decompression to expec tant
tactics. Open surgery used as the primary method of surgical treatment (32 patients), and after mini-invasive procedures and
stabilization of the general condition of the patient (9 patients). Patients with SOFA 3 to 8 underwent laparotomy with surgical
treatment pseudocyst cavity, and subsequently, the formation of its walls – forming cystoenterostomy. Patients with pseudocyst
with thin walls served their external drainage cavity. Complications occurred in 28.1 % of patients after the laparotomy, in the
fi rst stage.

References

Диагностика и тактика лечения незрелых постне-

кротических кист поджелудочной железы / Т. И. Тамм,

Б. М. Даценко, А. Я. Бардюк, В. В. Непомнящий //

Харківська хірургічна школа. – 2009. – № 4.1 (36). –

С. 291–293.

Brun A. Fluid collections in and around the pancreas in acute

pancreatitis / A. Brun, N. Agarwal, C. Pitchumoni // J. Clin.

Gastroenterol. – 2011. – Vol. 45. – Р. 614–625.

Алгоритм хірургічного лікування гострого панкреатиту /

В. М. Копчак, І. В. Хомяк, В. М. Шевченко [та ін.] // Клінічна

хірургія. – 2014. – № 9.2. – С. 21–24.

Alsfasser G. Treatment of necrotizing pancreatitis: redefi ning

the role of surgery / G. Alsfasser, F. Schwandner, A. Pertschy //

World J. Surg. – 2012. – Vol. 36. – P. 1142–1147.

Interventions for necrotizing pancreatitis: Summary of

a Multidisciplinary Consensus Conference / M. L. Freeman,

J. Werner, H. C. van Santvoort [ et al. ] // Pancreas. – 2012. –

Vol. 41, № 8. – P. 1176–1195.

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Published

2016-05-21

How to Cite

KRYVORUCHKO, I. A., & HONCHAROVA N. М. (2016). THE APPLICATION OF OPEN SURGICAL TREATMENT IN PATIENTS WITН COMPLICATED PSEUDOCYSTS OF PANCREAS OF TYPE I. Hospital Surgery. Journal Named by L.Ya. Kovalchuk, (2). https://doi.org/10.11603/2414-4533.2016.2.6407

Issue

No. 2 (2016)

Section

ORIGINAL INVESTIGATIONS

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