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Khirurgii
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Year 2009 Vol. 17 No 3

GENERAL AND SPECIAL SURGERY

A.T. SCHASTNY

PROXIMAL RESECTION OF THE PANCREAS HEAD (BERNE MODIFICATION OF BGERS OPERATION)

Immediate treatment results of 30 patients with chronic pancreatitis to whom Bern variant of Begers operation was applied are analyzed in the article. In 15 patients (50%) cysts in the pancreas head area were revealed (an average cysts diameter was 48,913,0 mm), in 8 patients (26%) biliary hypertension was a complication of chronic pancreatitis, duodenal stenosis was verified in 2 (6%) patients, calcinosis was marked in 2 patients (6%).
Proceeding from the achieved results, Bern modification is an adequate method of subtotal pancreas head resection in case of hard anatomical conditions. And if there are intrapancreatic cysts or pseudocysts of pancreas head area we consider this variant to be the operation of choice.
Comparative estimation of own results of Bgers operation and its Bern modification permits to conclude about easier technical carrying-out of Bern variant, lesser intraoperative blood loss as well as lesser duration of the operation.

Keywords: chronic pancreatitis, duodenal-saving pancreas head resection, Bern modification of Bgers operation
p. 23 - 30 of the original issue
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