The complex treatment of acute pancreatitis using miniinvasive surgical treatment

Authors

  • G. I. Ohrimenko
  • N. G. Golovko
  • V. A. Grushka
  • T. S. Gavrilenko
  • P. G. Kocherov

DOI:

https://doi.org/10.14739/2310-1210.2015.3.44485

Keywords:

Pancreatic Necrosis, Computed Tomography, Laparoscopic Drainage

Abstract

Nowadays methods used in acute pancreatitis diagnostic do not allow to find the most optimal indications, terms of surgical drainage approaches in surgical treatment of acute pancreatitis.

Aim.  In order to develop optimal diagnostic and treatment algorithm 316 patients took part in the study.

Methods and results. Surgery outcomes were assessed by the next methods: ultrasound, computed tomography. We determined that destructive changes in pancreas in group of sterile pancreatic necrosis were limited. In cases of infected pancreatic necrosis the damage was spread and the disease course was septic. That’s why the operative treatment in cases of sterile pancreatitis has to be used with strict indications such as fermentative peritonitis, acute liquid formations, acute pseudocysts.

Conclusion. In such cases miniinvasive surgery is mainly used while in the cases of infected pancreatic necrosis we ought to choose open surgery treatment.

References

Demin, D. B., Tarasenko, V. S., Kornilov, S. A., & Shchetinin, N. A. (2009). Minimal`no invazivnaya khirurgiya pankreonekroza – progress i problemy [Minimally invasive surgery of pancreatic necrosis-progres and problems]. Vestnik hirurgii im. I.I. Grekova, 5, 55–58. [in Russian].

Kondratenko, P. H., Kon`kova, M. V., & Dzhanzits, I. N. (2011). Khirurgicheskoe lechenie ostrogo nebiliarnogo asepticheskogo nekroticheskogo pankreatita [Surgical treatment of acute unbiliary aseptic necrotizing pancreatitis]. Klinichna khirurhiia, 2, 18–22. [in Ukrainian].

Kriger, A. G., Vladimirov, V. G., Andrejcev, I. L., Seregin, R. V., & Makarova, E. E. (2004). Lechenie pankreonekroza s porazheniem zabryushinnoj kletchatki [Treatment of pancreatic necrosis with damage of retroperitoneal cellular tissue]. Khirurgiya, 2, 18–22. [in Russian].

Afanasev, A. N., Kirillin, A. V., Shalygin, A. B., & Smyslov, I. N. (2010). Ocenka rezul`tatov khirurgicheskogo lecheniya ostrogo destruktivnogo pankreatita [Evaluation of the results of surgical treatment of acute destructive pancreatitis]. Vestnik e`ksperimental'noj i klinicheskoj khirurgii, 3(4), 308–316. [in Russian].

Dibirov, M. D., Rybakov, G. S., & Khalidov, O. H. (2012) Osnovnye principy i rezul`taty lecheniya pankreonekroza [Basic principles and results of treatment of pancreatic necrosis]. 7th All-Russian Conference general surgeons with international participation, (pp. 86–89). Krasnoyarsk. [in Russian].

Dyadkin, N. A., Lezhnev, D. A., Eremin, Yu. V., Solovev, S. E., Ivanova, T. V., & Shishichin, A. V. (2012). Zhidkostnye skopleniya pri ostrom pankreatite i ikh dinamika po dannym magnitno-resonansnoj tomografii [Fluid accumulation in acute pancreatitis and their dynamics on data of magnetic resonance imaging]. Radiolohiia-praktika, 6, 11–18. [in Russian].

Seewald, S., Ang, T. L., Teng, K. C., & Soehendra, N. (2009). EUS – guided drainage of pancreatic pseudocysts, abscesses and infected necrosis. Dig. Endosc., 21(1), 61–65. doi: 10.1111/j.1443-1661.2009.00860.x.

Mortele, K. J., Girshman, J., Szeinfeld, D., Ashley, S. W., Erturk, S. M., Banks, P. A., & Silverman, S. G. (2009). CT-guided percutaneous catheter drainage of acute necrotizing pancreatitis: clinical experience and observations in patients with sterile and infected necrosis. Amer. J. Roentgenol., 192(1), 110–116. doi: 10.2214/AJR.08.1116.

How to Cite

1.
Ohrimenko GI, Golovko NG, Grushka VA, Gavrilenko TS, Kocherov PG. The complex treatment of acute pancreatitis using miniinvasive surgical treatment. Zaporozhye medical journal [Internet]. 2015Jun.15 [cited 2024Apr.20];17(3). Available from: http://zmj.zsmu.edu.ua/article/view/44485

Issue

Section

Original research