Мultimodal staged tactics of surgical treatment in patients, suffering an acute necrotic pancreatitis


Keywords: acute necrotic pancreatitis; miniinvasive interventions; echovideoendoscopy; multimodal staged tactics

Abstract

Objective. To estimate the efficacy of the tactics elaborated for the multimodal staged surgical treatment of an acute necrotic pancreatitis (ANP).

Маterials and methods. There were studied the results of treatment of 317 patients, suffering ANP, to whom in 2013-2017 yrs a proposed tactics of the surgical interventions performance was applied. For estimation of the treatment efficacy there were analyzed the organ’s insufficiency, revealed for the first time after the operation, the intensive therapy duration, postoperative complications and lethality.

Results. Application of tactics proposed have provided the performance rate of wide laparotomic necrsequestrectomy down to 14.5% and its deferment till after the fourth week from the disease beginning in 82.6% оperated patients. In postoperative period the complications were observed in 28.3% patients, general lethality have constituted 3.5%, while after performance of wide laparotomic necrsequestrectomies - 6.5%.

Conclusion. Application of a multimodal staged surgical treatment of patients, suffering an ANP, provides the rate reduction for performance of wide laparotomic necrsequestectomy and a morbidity rate as well.

References

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Author Biographies


I. V. Khomiak, Shalimov National Institute of Surgery and Transplantology, Kyiv

Khomiak Igor Vasylovych - MD, Doctor of Sci (Med), Professor,

Head Scientific Researcher of Department of Pancreas Surgery and Bile Ducts Reconstruction Surgery,

Shalimov National Institute of Surgery and Transplantology,

Kyiv, 30 Heroyv Sevastopolya Str., 03680,

md.khomiak@gmail.com 

orcid.org/0000-0002-3299-7840


O. V. Rotar, Bukovyna State Medical University, Chernivtsi

Rotar Oleksandr Vasylovych - MD, PhD (Med),

Associate Professor of Department of General Surgery,

Bukovinian State Medical University,

2 Teatralna Sq., 58000,

oleksandr.rotar@gmail.com

orcid.org/0000-0002-9434-0377


V. I. Rotar, Bukovyna State Medical University, Chernivtsi

Rotar Vasyl Ivanovych - MD, PhD (Med),

Associate Professor of Department of Anesthesiology and Reanimatology,

Bukovinian State Medical University,

2 Teatralna Sq., 58000,

 rotar.v@i.ua

 orcid.org/0000-0002-3467-0024


A. I. Khomiak, Shalimov National Institute of Surgery and Transplantology, Kyiv

Khomiak Andrii Igorovich - MD,

Scientific Researcher of Department of Pancreas Surgery and Bile Ducts Reconstruction Surgery,

Shalimov National Institute of Surgery and Transplantology,

Kyiv, 30 Heroyv Sevastopolya Str., 03680,

kh.ndrew@gmail.com 

orcid.org/0000-0003-0974-4965

Published
2018-10-29
How to Cite
Khomiak, I. V., Rotar, O. V., Rotar, V. I., & Khomiak, A. I. (2018). Мultimodal staged tactics of surgical treatment in patients, suffering an acute necrotic pancreatitis. Klinicheskaia Khirurgiia, 85(10), 26-28. https://doi.org/10.26779/2522-1396.2018.10.26
Section
General Problems of Surgery