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%.

Author Biographies

O. Yu. Usenko, Shalimov National Institute of Surgery and Transplantology, Kyiv

OlexandrUsenko, MD, PhD, full professor,

director of the Shalimov National Institute of Surgery and Transplantology,

head of the department of gastrointestinal surgery

at Shalimov National Institute of Surgery and Transplantology,

Kyiv, 30 Heroiv Sevastopolya str.

Phone: +38 044 497 13 74

usenko1962@gmail.com

http://orcid.org/0000-0003-4957-4104

V. M. Kopchak, Shalimov National Institute of Surgery and Transplantology, Kyiv

VolodimirKopchak,MD, PhD, full professor,

head of the department of Pancreatic and Bile DuctSurgery

Shalimov National Institute of Surgery and Transplantology,

Kyiv, 30 HeroivSevastopolya str.

e-mail: kopchak@ua.fm

Mobile: 067 402 46 59

http://orcid.org/0000-0003-0134-7500

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

Igor Khomiak, MD, PhD, full professor,

chief researcher at the department of Pancreatic and Bile Duct Surgery

Shalimov National Institute of Surgery and Transplantology,

Kyiv, 30 HeroivSevastopolya str.

e-mail: md.khomiak@gmail.com

Mobile: 067 449 08 48

https://orcid.org/0000-0002-3299-7840

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

Andrii Khomiak, MD, intern

department of Pancreatic and Bile Duct Surgery

Shalimov National Institute of Surgery and Transplantology,

Kyiv, 30 HeroivSevastopolya str.

e-mail: kh.ndrew@gmail.com

Mobile: 063 564 07 87

http://orcid.org/0000-0003-0974-4965

A. V. Malik, Shalimov National Institute of Surgery and Transplantology, Kyiv

Andrii Malik, MD, intern

department of Pancreatic and Bile Duct Surgery

Shalimov National Institute of Surgery and Transplantology,

Kyiv, 30 HeroivSevastopolya str.

e-mail: 5633andrey75@gmail.com Mobile: 093 384 91 12

https://orcid.org/0000-0001-9628-0999

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Results of surgical treatment of paraduodenal (groove) pancreatitis

Abstract

Author Biographies

References