Year 2011 Vol. 19 No 1




Objectives. To compare life quality in patients, suffering from chronic pancreatitis with pseudocysts, after they have undergone internal (IDO) or external draining (EDO) operations.
Methods. The prospective research according to several criteria without randomization has been carried out. Treatment results of 20 patients (20082009 years) with various kinds of IDO and 19 patients with EDO after necrosectomy have been analyzed.
Results. IDO is preferable as it provides a larger gain of indicators of physical and mental health life quality in the operated patients (Mann-Whitneys U-test). After IDO there were no relapses of pseudocysts and lethal outcomes.
Conclusions. The results received after performance of IDO proves awake surgical tactics in the patients, suffering from chronic pancreatitis with pseudocysts. EDO after necrosectomy is rather the forced variant of a surgical intervention which is expedient for applying in the presence of complications of pseudocysts (rupture or peritonitis).

Keywords: chronic pancreatitis, pancreatic pseudocysts, surgical treatment
p. 26 31 of the original issue
  1. Schlosser, W. Pseudocysts treatment in chronic pancreatitis surgical treatment of the underlying disease increases the long-term success / W. Schlosser, M. Siech, H. G. Beger // Dig. Surg. 2005. Vol. 22. P. 340-345.
  2. Boerma, D. Pancreatic pseudocysts in chronic pancreatitis. Surgical or interventional drainage? / D. Boerma, H. Obertop, D. J. Gouma // Ann. Ital. Chir. 2000. Vol. 71. P. 43-50.
  3. DEgidio, A. Pancreatic pseudocysts: a proposed classification and its management implications / A. DEgidio, M. Schein // Br. J. Surg. 1991. Vol. 78. P. 981-984.
  4. Usatoff, V. Operative treatment of pseudocysts in patients with chronic pancreatitis / V. Usatoff, R. Brancatisano, R. C. Williamson // Br. J. Surg. 2000. Vol. 87. P. 1494-1499.
  5. Warshaw, A. L. Timing of surgical drainage for pancreatic pseudocysts. Clinical and chemical criteria / A. L. Warshaw, D. W. Rattner // Ann. Surg. 1985. Vol. 202. P. 720-724.
  6. The natural history of pancreatic pseudocysts documented by computed tomography / C. J. Yeo [et al.] // Surg. Gyn. Obst. 1990. Vol. 170. P. 411-417.
  7. Nealon, W. H. Duct drainage alone is sufficient in the operative management of pancreatic pseudocyst in patients with chronic pancreatitis / W. H. Nealon, E. Walser // Ann. Surg. 2003. Vol. 237. P. 614-622.
  8. Huffman, L. Chronic pancreatitis: recent advances and ongoing challenges / L. Huffman, B. McIntyre // Curr. Probl. Surg. 2006. Vol. 43. P. 135-238.
  9. Minimally invasive surgery of the pancreas in progress / L. Fernandez-Cruz [et al.] // Langenbecks Arch. Surg. 2005. Vol. 390. P. 342-354.
  10. Are cystgastrostomy and cystjejunostomy equivalent operations for pancreatic pseudocysts? / K. A. Newell [et al.] // Surgery. 1999. Vol. 108. P. 635-240.
  11. Pseudocysts in chronic pancreatitis. Surgical results in 102 consecutive patients / T. Kiviluoto [et al.] // Arch. Surg. 1990. Vol. 124. P. 240-243.
  12. Lohr-Happe, A. Natural course of operated pseudocysts in chronic pancreatitis / A. Lohr-Happe, M. Peiper, P. G. Lankisch // Gut. 1994. Vol. 35. P. 1479-1482.
  13. Pancreatic pseudocyst in chronic pancreatitis: endoscopic and surgical treatment / E. Rosso [et al.] // Dig. Surg. 2003. Vol. 20. P. 397-406.
  14. Degen, L. Cystic and solid lesions of the pancreas / L. Degen, W. Wiesner, C. Beglinger // Best Practice & Research Clinical Gastroenterology. 2008. Vol. 22, N 1. P. 91-103.
  15. Basturk, O. Pancreatic cysts: pathologic classification, differential diagnosis, and clinical implications / O. Basturk, I. Coban, N. V. Adsay // Arch. Pathol. Lab. Med. 2009. Vol. 133. P. 423-438.
  16. , . . / . . , . . . .: -, 2002 314 .
Contacts | ©Vitebsk State Medical University, 2007-2023