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

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

Abstract

Abstract. 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

Дирда О.О Лікування хворих на гострий некротичний панкреатит/парапанкреатит / Я. М. Сусак, О. А. Ткаченко, Л. М. Сківка, І. П. Хоменко, О. О. Дирда, С. І. Пахолюк // Хірургія України. – 2015. – № 2. – С. 42-46.

Хубиев М.Б. Малоинвазивные хирургические технологии в комплексном лечении панкреонекроза: автореф. дис. канд. мед. наук: спец. 14.00.27 – хирургия / М.Б. Хубиев. – Кабардино-Балкарский государственный университет. – Нальчик. – 2004. – С. 5-9.

Чанцев В.А. Особливості хірургічної тактики у хворих на гострий біліарний панкреатит: автореф. дис. канд. мед. наук: спец. 14.00.27 – хирургія / В.А. Чанцев. – Харківський національний медичний університет. – Харків. – 2014. – С. 1-3.

Amy Y. Xiao, Marianne L. Y. Tan, Landy M. Wu 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.

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
2019-12-25
How to Cite
Drozdova, A. G. (2019). OPTIMIZATION OF SURGICAL TREATMENT OF PATIENTS WITH ACUTE PANCREATITIS USING MINIINVASIVE TECHNIQUES. Kharkiv Surgical School, (5-6), 63-65. https://doi.org/10.37699/2308-7005.5-6.2019.13
Section
NOTES OF MEDICAL PRACTITIONER