Estimation of variants of the pancreatic gland pathology in patients, suffering complicated forms of chronic pancreatitis in late postoperative period

Keywords: chronic pancreatitis; Frey operation; pancreaticojejunostomy; results of treatment.

Abstract

Objective. Estimation of variants of the pancreatic gland pathology and rate of the unfavorable results occurrence in late postoperative period in patients, suffering  complicated forms of chronic pancreatitis, depending on the procedures of surgical treatment.

Materials and methods. Results of surgical treatment of complicated forms of chronic pancreatitis in department of the gut surgery in 2007 - 2017 yrs were studied in 107 patients, who were divided into two groups: the Group I – 67 (62.7%) patients, in whom pancreato- and virsungodigestive operations were performed, and the Group II – 40 (37.4%) patients, in whom duodenum—preserving resection-drainage surgical interventions were done.

Results. Unfavorable variants of pancreatic pathology were observed significantly more frequently in patients of the Group I – in 34/67 (50.7%) in comparison with patients of the Group II – in 6/40 (15.0%) (χ2=9.49, p=0.002).

Conclusion. Analysis of rate of the unfavorable results occurrence in late postoperative period, depending on surgical tactics appled, have shown a trustworthy advantage of the resection-drainage operations.

Author Biographies

V. M. Ratchyk, Institute of Gastroenterology, Dnepr

Vadym Ratchyk, DSci (med)
Chief of department surgery digestive organs
Institute of Gastroenterology
Slobozhansky ave. 96, Dnipro, Ukraine
0679539053
ratchik.v@gmail.com
Orcid.org 0000-0003-3021-4336

D. V. Orlovsky, Institute of Gastroenterology, Dnepr

Denis Orlovsky
Institute of Gastroenterology
Slobozhansky ave. 96, Dnipro, Ukraine
067-858-85-80
dennis270279@gmail.com
Orcid. org 0000-0003-1562-1857

A. V. Tuzko, Institute of Gastroenterology, Dnepr

Anna Tuzko
Institute of Gastroenterology
Slobozhansky ave. 96, Dnipro, Ukraine
0507854745
Anna.tuzko@icloud.com
Orcid.org 0000-0002-3905-1441

O. P. Petishko, Institute of Gastroenterology, Dnepr

Oksana Petishko, Researcher
department of scientific-organizational, methodological work and information technologies
Institute of Gastroenterology
Slobozhansky ave. 96, Dnipro, Ukraine
066-355-98-81
petishko_oksana@i.ua
Orcid. org 0000-0002-4559-4055

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Published
2019-07-07
How to Cite
Ratchyk, V. M., Orlovsky, D. V., Tuzko, A. V., & Petishko, O. P. (2019). Estimation of variants of the pancreatic gland pathology in patients, suffering complicated forms of chronic pancreatitis in late postoperative period. Klinicheskaia Khirurgiia, 86(7), 18-22. https://doi.org/10.26779/2522-1396.2019.07.18
Section
General Problems of Surgery