Criteria of volume of local pancreatic resection in patients with chronic fibrous-degenerative pancreatitis

Keywords: chronic pancreatitis; pancreatic hypertension

Abstract

Oblective. Substantiation of the pancreatic gland local resection and elaboration of algorithm for surgical treatment of chronic fibrous-degenerative pancreatitis (CHFDP).

Маterials and methods. Results of surgical treatment of 69 patients, suffering CHFDP, complicated by syndrome of pancreatic hypertension, were analyzed. In 6 patients a local pancreatic gland resection was accomplished in accordance to Frеy procedure, in 2 – to Izbicki procedure, in 52 - to Frеy-Izbicki procedure, and in 9 – pancreaticoduodenal resection.

Results. The advantage must be given to Frеy-Іzbicki procedure, because it makes impossible to eliminate the chronic pancreatitis pacemaker completely – a zone of maximal pancreatic fibrosis. Postoperative morbidity have occurred in 17.4% patients. Postoperative mortality was absent.

Conclusion. The occurrence rate for pancreatic hypertension after Frеy-Izbicki procedure is reduced by 11.1%.

Author Biographies

O. E. Kanikovskyi, National Pirogov Memorial Medical University, Vinnytsya

Kanikovskyi Oleh Evgeniyovych MD, PhD, professor

Head of Department of surgery of medical faculty 2

National Pirogov memorial Medical University, Vinnytsya.

Adress: 56, Pyrogov str., Vinnytsya, 21031

E-mail: o.kanikovsky@gmail.com

ORCID: https://orcid.org/0000-0002-9302-8760

I. V. Pavlyk, National Pirogov Memorial Medical University, Vinnytsya

Pavlyk Ihor Vasylyovych MD, PhD, associated professor

Associated professor of Department of surgery of medical faculty 2

National Pirogov memorial Medical University, Vinnytsya.

Adress: 56, Pyrogov str., Vinnytsya, 21031, tel.: +38 (067) 419 46 82

E-mail: ipavlyk@gmail.com

ORCID: https://orcid.org/0000-0003-2018-273X

I. V. Oliinyk, National Pirogov Memorial Medical University, Vinnytsya

Oliinyk Iryna Vasylivna MD, PhD, associated professor

Associated professor of Department of Public Health

National Pirogov memorial Medical University, Vinnytsya.

Adress: 56, Pyrogov str., Vinnytsya, 21031,

E-mail: oliynyk.iv@gmail.com

ORCID: https://orcid.org/0000-0001-6034-3580

O. L. Mahovskyi, National Pirogov Memorial Medical University, Vinnytsya

Mahovskyi Oleksandr Leonidovych MD

Trainee of Department of surgery of medical faculty 2

National Pirogov memorial Medical University, Vinnytsya.

Adress: 56, Pyrogov str., Vinnytsya, 21031

E-mail: ipavlyk@gmail.com

ORCID: https://orcid.org/0000-0003-2969-7780

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Published
2018-12-28
Section
General Problems of Surgery