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Khirurgii
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Year 2009 Vol. 17 No 1

IN ASSISTANCE TO PRACTICIONER

SCHASTNY A.T.

PSEUDOCYSTS OF PANCREAS: DIAGNOSTICS, TREATMENT

The questions of epidemiology, etiology, diagnostics and treatment of pseudocysts of the pancreas are illustrated; applied classifications of the disease are presented. It has been found out that diagnostic program in case of this pathology should provide the use of modern instrumental methods of investigation (ultrasound investigation, computer tomography, magneto resonant tomography, cholangiopancreatography, endoscopic retrograde papillocholangiography as well as biochemical and cytological analysis of the cyst content. Considerable attention has been paid to the operative methods of treatment, especially to mini-invasive technologies. Basing on the literature data and own experience of 300 patients operative treatment, advantages and disadvantages of various interventions in case of this pathology are determined; indications for operative treatment are formulated. Laparoscopies have been shown to be a perspective course in the treatment of patients with chronic pancreatitis accompanied by pseudocysts.

Keywords: pancreas, pancreatitis, pseudocyst, treatment of pseudocysts, endoscopic surgery.
p. 143- 156 of the original issue
References
  1. Grace, P. A. Modern management of pancreatic pseudocysts / P. A. Grace R. C. Williamson // Br. J. Surg. 1993. Vol. 80. P. 573-581.
  2. , . . / . . , . . . .: , 1995. 509 .
  3. 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.
  4. Callery, M. Surgical treatment of pseudocysts after acute pancreatitis / M. Callery, . Meyer // The pancreas / ed. H. Beger [et al.]. Berlin: Blackwell Science, 1998. P. 614-626
  5. Sarner, M. Classification of pancreatitis / M. Sarner, P. B. Cotton // Gut. 1984. Vol. 25. P. 756-759.
  6. Bradley, E. L. A clinically based classification system for acute pancreatitis / E. L. Bradley // Arch. Surg. 1993. Vol. 128. P. 586-590.
  7. DEgidio, A. Pancreatic pseudocysts: a proposed classification and its management implications / A. DEgidio, M. Schein // Br. J. Surg. 1991. Vol. 78. P. 981-984.
  8. Nealon, W. Surgical management of complications associated with percutaneous and/or endoscopic management of pseudocyst of the pancreas / W. Nealon, E. Walser // Ann. Surg. 2005. Vol. 241, N 6. P. 948-960.
  9. Outcome differences after endoscopic drainage of pancreatic necrosis, acute pancreatic pseudocysts, and chronic pancreatic pseudocysts / T. H. Baron [et al.] // Gastrointest. Endosc. 2002. Vol. 56. P. 7-17.
  10. Lehman, G. A. Pseudocysts / G. A. Lehman // Gastrointest. Endosc. 1999. Vol. 49, N 3. Pt. 2. P. S81-S84.
  11. Hawes, R. H. Endoscopic management of pseudocysts / R. H. Hawes // Rev. Gastroenterol. Disord. 2003. Vol. 3. P. 135-141.
  12. Pancreatic imaging by ultrasound and computed tomography: a general review / J. K. Lee [et al.] // Radiol. Clin. North Am. 1979. Vol. 17. P. 105-117.
  13. Sugawa, C. Endoscopic retrograde pancreato-graphy in the surgery of pancreatic pseudocysts / C. Sugawa, A. J. Walt // Surgery. 1979. Vol. 86. P. 639-647.
  14. Beger, H. G. Duodenum-preserving resection of the head of the pancreas in severe chronic pancreatitis: early and late results / H. G. Beger, M. Buchler, R. R. Bittner // Ann. Surg. 1989. Vol. 209, N 3. P. 273-278.
  15. Russell, . Indications for surgery / . Russell // The pancreas / ed. H. Beger [et al.]. Berlin: Blackwell Science, 1998. P. 815-823.
  16. Percutaneous drainage of pancreatic pseudocysts is associated with a higher failure rate than surgical treatment in unselected patients / R. Heider [et al.] // Ann. Surg. 1999. Vol. 229. P. 781-787. Disc. 787-789.
  17. McNees, S. Percutaneous Management of Pancreatic Collections / S. McNees, E. van Sonnenberg, B. Goodarce // The pancreas / H. Beger [et al.]. Blackwell Science, 1998. Vol. 1, N 64. P. 650-655.
  18. Predictive factors in the outcome of pseudocysts complicating alcoholic chronic pancreatitis / B. Gouyon [et al.] // Gut. 1997. Vol. 41. P. 821-825.
  19. Pancreatic pseudocyst in chronic pancreatitis: endoscopic and surgical treatment / E. Rosso [et al.] // Digest. Surg. 2003. Vol. 20. P. 397-406.
  20. Warshaw, A. L. Timing of surgical drainage for pancreatic pseudocyst. Clinical and chemical criteria / A. L. Warshaw, D. W. Rattner // Ann. Surg. 1985. Vol. 202. P. 720-724.
  21. Waclawiczek, H. W. Der Schutz der pankreaticodigestiven Anastomose nach Pankreaskopfresektion durch Pankreasgangocclusion mit Fibrin (Kleber) / H. W. Waclawiczek, D. Lorenz // Chirurg. 1989. N 6. Bd. 60. P. S403-S409.
  22. Izbicki, J. R. Complication of adjacent organs in chronic pancreatitis managed by duodenum-preserving resection of the head of the pancreas / J. R. Izbicki, C. Bloechle, W. T. Knoefel // Br. J. Surg. 1994. Vol. 81. P. 1351-1355.
  23. Ridder G. J. Favourable prognosis of cystadeno- over adenocarcinoma of the pancreas after curative resection / G. J. Ridder // V. Eur. J. Surg. Oncol. 1996. Vol. 22. P. 232-236.
  24. Gullo, L. Pancreatic cysts: somatostatin and drainage / L. Gullo // Cronic pancreatitis / ed. M. Buechler [et al.]. Heidelberg: Blackwell pub., 2002. P. 467-470.
  25. Endoscopic transpapillary drainage of pancreatic abscess: technique and results / R. Venu [et al.] // Gastrointestinal Endoscopy. 2000. Vol. 51, N 4. P. 391-395.
  26. Management of acute pancreatitis: from surgery to interventional intensive care / J. Werner [et al.] // Gut. 2005. Vol. 54. P. 426-436.
  27. / . . [ .] // : .-. . ., 2000. . 38-39.
  28. , . . / . . , . . , . . . .: , 1993. 180 .
  29. , . . : . . - . : 14.00.27 / . . . ., 1995. 33 .
  30. Cooperman, A. M. Surgical treatment of pancreatic pseudocysts / A. M. Cooperman // Surg. Clin. North. Am. 2001. Vol. 81. P. 411-419.
  31. Are cystgastrostomy and cystjejunostomy equivalent operations for pancreatic pseudocysts? / K. A. Newell [et al.] // Surgery. 1990. Vol. 108. P. 635-639. Disc. 639-640.
  32. Endoscopic pancreatic duct drainage and stenting for acute pancreatitis and pancreatic cyst and abscess / N. Shinozuka [et al.] // J. Hepatobiliary Pancreat. Surg. 2007. Vol. 14, N 6. P. 569-574.
  33. Vignesh, S. Endoscopic Diagnosis and Treatment of Pancreatic Cysts / S. Vignesh, W. R. Brugge // J. Clin. Gastroenterol. 2008. Vol. 42, N 5. P. 493-506.
  34. Stenting in severe chronic pancreatitis: results of medium-term follow-up in 76 patients / M. Cremer [et al.] // Endoscopy. 1991. Vol. 23. P. 171-176.
  35. Endoscopic transpapillary drainage of pancreatic pseudocysts / M. Barthet [et al.] // Gastrointest. Endosc. 1995. Vol. 42. P. 208-213.
  36. Binmoeller, K. F. Endoscopic pseudocyst drainage: a new instrument for simplified cystenterostomy / K. F. Binmoeller, H. Seifert, N. Soehendra // Gastrointest Endosc. 1994. Vol. 40. . 112-114.
  37. Treatment of pancreatic pseudocysts with ductal communication by transpapillary pancreatic duct endoprosthesis / M. F. Catalano [et al.] // Gastrointest. Endosc. 1995. Vol. 42. P. 214-218.
  38. Endoscopic-ultrasound-guided endoscopic transmural drainage of pancreatic pseudocysts and abscesses / C. V. Lopes [et al.] // Scand. J. Gastroenterol. 2007. Vol. 42, N 4. P. 524-529.
  39. The efficacy of endoscopic treatment of pancreatic pseudocysts / M. E. Smits [et al.] // Gastrointest. Endosc. 1995. Vol. 42. P. 202-207.
  40. / . . [ .] // : . XIII . , 2006. . 1. . 92-93.
  41. Cuschieri, A. Laparoscopic surgery of the pancreas / A. Cuschieri // J. R. Coll. Surg. Edinb. 1994. Vol. 39. P. 178-184.
  42. Way, L. Laparoscopic pancreatic cystoga-strostomy: the first operation in the new field of intraluminal laparoscopic surgery / L. Way, P. Legha, T. Mori // Surg. Endosc. 1994. Vol. 8. P. 240-244.
  43. Brugge, W. R. Approaches to the drainage of pancreatic pseudocysts / W. R. Brugge // Curr. Opin. Gastroenterol. 2004. Vol. 20. P. 488-492.
  44. Laparoscopic pancreatic surgery in patients with chronic pancreatitis / L. Fernandez-Cruz [et al.] // Cronic pancreatitis / M. Buechler [et al.]. Heidelberg: Blackwell pub., 2002. P. 540-551.
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