OPTIMIZATION OF SURGICAL TREATMENT OF PATIENTS WITH ACUTE PANCREATITIS USING MINIINVASIVE TECHNIQUES

  • A. G. Drozdova
Keywords: аcute pancreatitis, surgical treatment, miniinvasive techniques.

Abstract

Summary. The aim of the study. To improve the results of surgical treatment of patients with acute pancreatitis using minimal invasive techniques.

Matherials and Methods of the study. The results of surgical treatment of 75 patients with different forms of acute pancreatitis were analyzed. All patients were examined and operated on.

Results of the study. Minimally invasive interventions were performed in 92 % of the analyzed patients. Intraoperatively acute pancreatic edema was observed in 43 % of patients, hemorrhagic pancreatic necrosis – in 24 %, infected pancreatic necrosis – in 33 %. The postoperative period was complicated by 13.3 %, the mortality rate was 9.3 %.

Conclusions. The use of minimally invasive techniques for treating acute pancreatitis can significantly improve the results of surgical treatment of patients with this pathology. The frequency of complications and lethality decreases. Also, it is possible to significantly reduce operational trauma, and hence the number of bed-days of stay in hospital treatment. This contributes to reducing the financial cost of treatment in patients with acute pancreatitis, as well as improving the quality of life of this category of patients.

References

1. Susak YaM, Tkachenko OA, Skivka LM, Homenko IP, Dirda OO, Paholyuk SI. Likuvannya hvorih na gostriy nekrotichniy pankreatit/parapankreatit. Hirurgiya Ukrayini. 2015;2:42-6. [In Ukrainian].
2. Chantsev VA. Osoblivosti hirurgichnoyi taktiki u hvorih na gostriy biliarniy pankreatit [disertatsiya]. Harkiv: Harkivskiy natsionalniy medichniy universitet;2014:1-3. [In Ukrainian].
3. Amy YXiao, Marianne LYTan, Landy MWu, et al. Global incidence and mortality of pancreatic diseases: a systematic review, meta-analysis, and meta-regression of population-based cohort studies. The Lancet Gastroenterology & Hepatology. 2016; 1(1): 45-55. https://doi.org/10.1016/ S2468-1253(16)30004-8.
4. Hubiev MB. Maloinvazivnyie hirurgicheskie tehnologii v kompleksnom lechenii pankreonekroza [disertatsiya]. Nalchik: Kabardino-Balkarskiy gosudarstvennyiy universitet;2004:5-9. [In Russian].
5. Darrivere L, Lapidus N, Colignon N, et al. Minimally invasive drainage in critically ill patients with severe necrotizing pancreatitis is associated with better outcomes: an observational study. Critical Care. 2018; 22:321.
Published
2020-03-12
How to Cite
Drozdova, A. G. (2020). OPTIMIZATION OF SURGICAL TREATMENT OF PATIENTS WITH ACUTE PANCREATITIS USING MINIINVASIVE TECHNIQUES. Kharkiv Surgical School, (3), 16-18. https://doi.org/10.37699/2308-7005.3.2020.03
Section
QUESTIONS OF SURGERY OF PANCREATOBILIARY SYSTEM