Results of surgical treatment of paraduodenal (groove) pancreatitis

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

References

1. Adsay NV, Zamboni G. Paraduodenal pancreatitis: a clinico-pathologically distinct entity unifying "cystic dystrophy of heterotopic pancreas", "para-duodenal wall cyst", and "groove pancreatitis". Semin Diagn Pathol. 2004;21:247-54. doi:10.1053/j.semdp.2005.07.005.
2. Muraki T, Kim GE, Reid MD, Mittal P, Bedolla G, Memis B, et al. Paraduodenal Pancreatitis: Imaging and Pathologic Correlation of 47 Cases Elucidates Distinct Subtypes and the Factors Involved in its Etiopathogenesis. Am J Surg Pathol. 2017;41:1347-63. doi: 10.1097/PAS.0000000000000919.
4. Yu J, Fulcher AS, Turner MA, Halvorsen RA. Normal anatomy and disease processes of the pancreatoduodenal groove: imaging features. AJR. 2004;183:839-46. doi:10.2214/ajr.183.3.1830839.
5. Nankoe SR, Wilcox R, Roggin KK: Paraduodenal pancreatitis (groove pancreatitis) mimicking pancreatic adenocarcinoma. Clin Gastroenterol Hepatol. 2012;10:A31- A32. doi: 10.1016/j.cgh.2011.07.011.
6. Patriti A, Castellani D, Partenzi A, Carlani M, Casciola L: Pancreatic adenocarcinoma in paraduodenal pancreatitis: a note of caution for conservative treatments. Updates Surg. 2012;64:307-9. doi: 10.1007/s13304-011-0106-3. Epub
7. DeSouza K, Nodit L. Groove pancreatitis: a brief review of a diagnostic challenge. Arch Pathol Lab Med. 2015 Mar;139(3):417-21. doi: 10.5858/arpa.2013-0597-RS.
8. Raman SP, Salaria SN, Hruban RH, Fishman EK. Groove pancreatitis: spectrum of imaging findings and radiology-pathology correlation. AJR Am J Roentgenol. 2013;201:W29- W39. doi: 10.2214/AJR.12.9956.
9. Gabata T, Kadoya M, Terayama N, Sanada J, Kobayashi S, Matsui O. Groove pancreatic carcinomas: radiological and pathological findings. Eur Radiol. 2003;13:1679-84. doi: 10.1007/s00330-002-1743-1.
10. Kager LM, Lekkerkerker SJ, Arvanitakis M, Delhaye M, Fockens P, Boermeester MA, et al. Outcomes after conservative, endoscopic, and surgical treatment of groove pancreatitis: a systematic review. J Clin Gastroenterol. 2017;51:749-54. doi: 10.1097/MCG.0000000000000746.
11. Aguilera F, Tsamalaidze L, Raimondo M, Puri R, Asbun HJ, Stauffer JA. Pancreaticoduodenectomy and Outcomes for Groove Pancreatitis. Dig Surg. 2018;35(6):475-481. doi: 10.1159/000485849.
12. Isayama H, Kawabe T, Komatsu Y, Sasahira N, Toda N, Tada M, et al. Successful treatment for groove pancreatitis by endoscopic drainage via the minor papilla. Gastrointest Endosc. 2005;61:175-8. doi: 10.1159/000485849.
13. Chantarojanasiri T, Isayama H, Nakai Y, Matsubara S, Yamamoto N, Takahara N, et al. Groove Pancreatitis: Endoscopic Treatment via the Minor Papilla and Duct of Santorini Morphology. Gut Liver. 2018 Mar;12(2):208-13. doi: 10.5009/gnl17170.
14. Casetti L, Bassi C, Salvia R, Butturini G, Graziani R, Falconi M, et al. "Paraduodenal" pancreatitis: results of surgery on 58 consecutives patients from a single institution. World J Surg. 2009;33:2664-9. doi: 10.1007/s00268-009-0238-5.
15. Becker V. Bauchspeicheldruse: Inselapparat Ausgenommen. Specielle Pathologische Anatomie. Berlin: Springer; 1973. 586 s.
Published
2019-01-17
How to Cite
Usenko, O. Y., Kopchak, V. M., Khomiak, I. V., Khomiak, A. I., & Malik, A. V. (2019). Results of surgical treatment of paraduodenal (groove) pancreatitis. Klinicheskaia Khirurgiia, 85(11), 5-8. https://doi.org/10.26779/2522-1396.2018.11.05
Issue
Vol 85 No 11 (2018): Klinicheskaia khirurgiia
Section
General Problems of Surgery
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