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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
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