THE APPLICATION OF OPEN SURGICAL TREATMENT IN PATIENTS WITН COMPLICATED PSEUDOCYSTS OF PANCREAS OF TYPE I
DOI:
https://doi.org/10.11603/2414-4533.2016.2.6407Abstract
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.
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