Результати хірургічного лікування парадуоденального (groove) панкреатиту

O. Yu. Usenko; V. M. Kopchak; I. V. Khomiak; A. I. Khomiak; A. V. Malik

doi:10.26779/2522-1396.2018.11.05

O. Yu. Usenko Shalimov National Institute of Surgery and Transplantology, Kyiv https://orcid.org/0000-0003-4957-4104
V. M. Kopchak Shalimov National Institute of Surgery and Transplantology, Kyiv http://orcid.org/0000-0003-0134-7500
I. V. Khomiak Shalimov National Institute of Surgery and Transplantology, Kyiv https://orcid.org/0000-0002-3299-7840
A. I. Khomiak Shalimov National Institute of Surgery and Transplantology, Kyiv https://orcid.org/0000-0003-0974-4965
A. V. Malik Shalimov National Institute of Surgery and Transplantology, Kyiv https://orcid.org/0000-0001-9628-0999

DOI: https://doi.org/10.26779/2522-1396.2018.11.05

Keywords: paraduodenal pancreatitis; groove pancreatitis; surgical treatment; miniinvasive surgical interventions.

Abstract

Oblective. To improve the surgical treatment results in patients, suffering paraduodenal pancreatitis, using elaborated and introduced new operative procedures together with application of differentiated tactics for the patients’ treatment.

Маterials and methods. Results of treatment in the Institute in 2014 - 2018 yrs were analyzed in 1261 patients, suffering chronic pancreatitis, and 106 of them included in the investigation, in whom paraduodenal pancreatitis was diagnosed.

Results. Conservative treatment was conducted in 34 (32.1%) patients. Miniinvasive interventions under control of endoscopic ultrasonography were performed in 25 (23.6%) patients. Open surgical intervention was performed in 47 (44.3%) patients: duodenum-preserving pancreatic resection - 40 (37.8%), pancreaticoduodenectomy - 7 (6.6%).

Conclusion. While application of miniinvasive methods of treatment and organ-preserving operations the patients’ stationary stay shortens from (18.4 ± 2.6) (95% CI) tо (14.2 ± 5.5) (95% CІ) days and lowers the morbidity rate from 42.9 tо 4 - 12.5%.

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