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Year 2011 Vol. 19 No 1

GENERAL AND SPECIAL SURGERY

RASHCHINSKY S.M., TRETYAK S.I., RASHCHINSKAYA N.T., KREYZA O.I., KUTSAKINA YU.A.

SURGICAL TREATMENT RESULTS OF PSEUDOCYSTS OF THE PANCREAS ON THE CHRONIC PANCREATITIS BACKGROUND

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 (2008–2009 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-Whitney’s 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
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