FEATURES OF SURGICAL TREATMENT OF COMPLICATED CHRONIC PANCREATITIS

Abstract

There is an increase in the incidence of chronic pancreatitis (CP), and the complicated course of CP is observed in 2/3 of patients, the mortality rate in this category of patients reaches 50 %. The purpose of the study: to clarify the indications for two stage operations with complicated forms of chronic pancreatitis and the optimal operation at the first stage of treatment. Materials and methods of research. We studied 183 patients with CP (main group I) who were operated on in two stages: the first stage was performed on 151 patients (82.5 %) in a minimally invasive way, and o nly 12 patients (6.6 %) - external drainage of the pancreatic duct (pancreas) was performed during the first operation. The control group (group II) consisted of 96 patients who had previously been operated on in one stage at the height of complications. Results. In the first group, resection interventions were performed in 157 (85.8 %), and in the second group - in 17 (17.7 %). At the same time, early postoperative complications occurred 2.7 times more often in the second group than in the first, although resection operations were performed 4.8 times more often in group I than in group II (p < 0.05). Conclusion. Thus, the use of minimally invasive interventions for complications of chronic pancreatitis can reduce the surgical trauma of the hepatopancreatobiliary region, reduce the number of postoperative complications by 2.7 times, reduce the bed day by 2.5 times, prepare the patient for pathogenetic surgery and accelerate postoperative rehabilitation.