Novosti
Khirurgii
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Year 2010 Vol. 18 No 2

GENERAL AND SPECIAL SURGERY

SCHASTNY A.T., KUGAEV M.I.

SURGICAL TREATMENT OF CHRONIC PANCREATITIS WITH PRIMARY PANCREAS HEAD AFFECTION

Immediate postoperative treatment results of the patients with chronic pancreatitis with primary pancreas head affection are presented in the article. 201 patients (176 males, 25 females) were operated on. Begers operation was performed in 102 patients (50,7%), Berns variant of Begers operation in 27(13,5%), Frays operation in 13 (6,5%), pancreatoduodenal resection (PDR) in 59 (29,3%) patients. On the examination in the preoperative period, pain syndrome intensity didnt differ much statistically in the patients with various complications and also didnt depend on the width of the main pancreatic duct. Intraoperative hemotransfusion at PDR was significantly statistically greater than in other groups (<0,05). In the group of patients in whom PDR treatment was carried out in the HDU it was more lengthy than in other groups (<0,05). The number of complications was statistically much higher after pancreatoduodenal resection (66,1%) (<0,05).

Keywords: chronic pancreatitis, Begers operation, Frays operation, pancreatoduodenal resection
p. 27-36 of the original issue
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