Classification of local complications of an acute pancreatitis as a background for choice of optimal method of their surgical correction

Keywords: local complications of acute pancreatitis; characteristic; classification

Abstract

Objective. To study peculiarities of local complications (LC) of an acute pancreatitis (AP), estimating their topographic-аnatomic, pathomorphological and quantitative characteristics, to elaborate qualificational systematization of LC of an AP.

Маterials and methods. Results of treatment of 460 patients, suffering LC of an AP were studied in 350 (76%) patients with a moderately severe course and in 110 (24%) patients with severe clinical course of the disease with application for LC a «solitary», «multiple» and «coexistent» terms.

Results. Solitary LC of an AP were revealed in 285 (62%) patients, predominantly in omental bursa (46%), pancreatic parenchyma and retroperitoneal space (33%). Multiple and coexistent LC were registered in 175 (38%) patients: multiple - in 42 (24%), and coexistent – in 133 (76%). In severe clinical course of an AP coexistent LC dominated – 41% observations, comparing with a moderately severe disease - 25% observations (χ2 = 6,564; р=0.01) and multiple – accordingly, 18 and 7% observations (χ2 = 86.451; p < 0.0001). In a moderately severe course of AP solitary LC dominated – 68% observations.

Conclusion. LC of an AP differs by their topographic-аnatomical, pathomorphological and quantitative characteristic, аnd their classification constitutes a base for selection of the surgical correction method.

Author Biographies

V. V. Andriushchenko, Lviv National Medical University named after Danylo Galytskyi

Victor P Andriushchenko MD, PhD., D.Sci, Professor

Department of General Surgery

Danylo Halytsky Lviv National Medical University.

Adress: 9 Mykolaychuka Str., 79059, Lviv, Ukraine tel.: 258-74-86, fax: 291-72-31

E-mail: avp.victor@gmail.com

ORCID: https://orcid.org/0000-0003-1848-7358

D. V. Andriushchenko, Lviv National Medical University named after Danylo Galytskyi

DmytroVAndriushchenko, MD, PhD.,D.Sci, assistant professor,

Department of surgery and endoscopy FPGE Danylo

Halytsky Lviv National Medical University.

Adress: 9 Mykolaychuka Str., 79059, Lviv, Ukraine  tel.:tel. +380(32) 258-74-84

E-mail: adv.dmitro@gmail.com

ORCID: https://orcid.org/0000-0003-1046-7889

V. A. Mahlovanyi, Lviv National Medical University named after Danylo Galytskyi

Vitalii A Mahlovahyi, MD, PhD, assistant professor,

assistant professor Department of General Surgery

Danylo HalytskyLviv National Medical University.

Adress: 9 Mykolaychuka Str., 79059, Lviv, Ukraine 

tel.: 258-74-86, fax: 291-72-31

E-mail: mahlovitaliy@gmail.com

ORCID:https://orcid.org/0000-0001-6872-453X

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Published
2018-08-30
How to Cite
Andriushchenko, V. V., Andriushchenko, D. V., & Mahlovanyi, V. A. (2018). Classification of local complications of an acute pancreatitis as a background for choice of optimal method of their surgical correction. Klinicheskaia Khirurgiia, 85(8), 12-14. https://doi.org/10.26779/2522-1396.2018.08.12
Section
General Problems of Surgery