Operative Treatment of Patients with Pancreatic Pseudocysts

Abstract

The article presents the results of surgical treatment of patients with pancreatic pseudocysts spent in hospital surgical clinic Siberian State Medical University from 2004 to 2016. 7 (17.5%) patients underwent conservative therapy. In the early postoperative period and in the long term (18 months) the analysis of the effectiveness of different methods of surgical treatment. According to the results of the research, the operations of the internal drainage along with resection and resection-draining interventions in assessing the quality of life showed similar long-term results. In turn, these interventions have provided significantly better quality of life (p> 0.05) than external drainage operation.

References
[1] B.I. Al'perovich, T.B. Komkova, N.V. Merzlikin, V.N. Salo, L.M. Paramonova, A.V. Orlov, Basics of сryosurgery liver and pancreas [in Russian], Тоmsk, 2006.


[2] E.E. Achkasov, A.L. Kharin, D.Yu. Kanner, Puncture treatment of pancreatic pseudocysts, Surgery. 7 (2007) 65-68.


[3] I.N. Grishin, V.N. Grits, S.N. Lagolich, Cysts, pancreatic fistulas and their complications [in Russian], Minsk, 2009.


[4] V.E. Gunther, G.Ts. Dambaev, Medical Materials and Implants with Shape Memory [in Russian], Publishing House of the TSU, Tomsk, 1998, 498.


[5] G. Ts. Dambaev, V.E. Gunther, M.M. Solovev, Implants with Shape Memory surgery, Atlas [in Russian], Publishing House of the MIC, Tomsk, 2009.


[6] M.V. Danilov, V.P. Glabay, A.V. Gavrilin, V.G. Zurabiani, G.K. Matveeva, Disputes of tactics of pancreatic cystic lesions treatment, Surgery [in Russian]. 7 (2007) 78-80.


[7] M.V. Danilov, V.D. Fedorov, Pancreatic Surgery [in Russian], Medicine, Moscow, 1995.


[8] I.I. Zatevakhin, A.I. Kravchenko, V.A. Kubyshkin, Abdominal surgery. National Leadership: short edition [in Russian], GEOTAR-Media, Мoscow, 2016.


[9] R.V. Ziganshin, V.E. Gunter, B.K. Gibert, New technology for creating a compression anastomosis in gastrointestinal surgery superelastic shape memory implants [in Russian], STT, Tomsk, 2000.


[10] M.P. Korolev, L.E. Fedotov, R.G. Avanesjan, M.M. Turyanchik, Yu.V. Fadeeva, Postnecrotic cyst: possible ways of minimalliinvasiv methods external and internal drainage, Journal of surgery [in Russian]. 3 (2012) 72-77.


[11] А.А. Kurygin, E.А. Nechayev, A.D. Smirnov, Surgical Treatment of Pancreatic Pseudocyst [in Russian], Hyppocrates, St.Petersburg, 1996.


[12] N.V. Merzlikin, N.A. Brajnikova, V.F. Tshay, Pancreatitis: monograph [in Russian], GEOTAR-Media, Мoscow, 2014.


[13] I.P. Parfenov, A.A. Karpachev, S.P. Franrsev, M.V. Sudakov, O.M. Zhdanovskij, A.L. Yarosh, A.V. Soloshenko, O.S. Sergeev, Endoscopic interventions in pancreatic pseudocysts, Annals of Surgical hepatology [in Russian]. 1 (2010) 27-33.


[14] V.A. Pelts, V.I. Podolujny, An analysis of results of using noninvasive ways of the treatment under checking the ultrasound on sterile pancreonecrosis, complicated by pancreatic pseudocysts, Medicine in Kuzbas [in Russian]. 2 (2011) 57-60.


[15] V.S. Savel'ev, M.I. Filimonov, S.Z. Burnevich, Рancreatonecrosis [in Russian], Ltd. "Medical News Agency, Мoscow, 2008.


[16] A.A. Aghdassi, J. Mayerle, M. Kraft, F.W. Sielenkamper, C.D. Heidecke, М.М. Lerch, Pancreatic pseudocysts - when and how to treat? , НРВ, 8 (2006) 432-441.


[17] E.L. Bradley, J.L. Clements, Implications of diagnostic ultrasound in the surgical management of pancreatic pseudocysts, Annals of Surgery. 127 (1974) 163-167.


[18] S.O. Cawich, T. Murphy, S. Shah, P. Barrow, M. Arthurs, M.J. Ramdass, P.B. Johnson, Endoscopic Transmural Drainage of Pancreatic Pseudocysts: Technical Challenges in the Resource Poor Setting [Electronic resource], Case Reports in Gastrointestinal Medicine. Access: http://www.rspor.ru/index. (2013)


[19] B. Gouyon, P. Lйvy, P. Ruszniewski, M. Zins, P. Hammel, V. Vilgrain, A. Sauvanet, J. Belghiti, P. Bernades, Predictive factors in the outcome of pseudocysts complicating alcoholic chronic pancreatitis, Gut. 41 (1997) 821-825.


[20] A.K. Khanna, S.K. Tiwary, Р. Kumar, Pancreatic pseudocyst: therapeutic dilemma [Electronic resource], International Journal of Inflammation. Access: http://dx.doi.org/10.1155/2012/279476. (2012)


[21] М.M. Lerch, А. Stier, U. Wahnschaffe, J. Mayerle, Pancreatic pseudocysts: Observation, Endoscopic Drainage, or Resection?, Deutches Arzteblatt International. 38 (2009) 614-621.


[22] A. Maringhini, G. Uomo, R. Patti, P. Rabitti, A. Termini, A. Cavallera, G. Dardanoni, G. Manes, M. Ciambra, M. Laccetti, P. Biffarella, L. Pagliaro, Pseudocysts in acute nonalcoholic pancreatitis: incidence and natural history, Dig. Dis. Sci. 8 (1999) 1669-1673.


[23] W.H. Nealon, Е. Walser, Main pancreatic ductal anatomy can direct choice of modality for treating pancreatic pseudocysts (surgery versus percutaneous drainage), Annals of Surgery. 6 (2002) 751-758.


[24] E. Rosso, N. Alexakis, P. Ghaneh, Pancreatic pseudocyst in chronic pancreatitis: endoscopic and surgical treatment, Digestive Surgery. 5 (2003) 397-406.


[25] М. Topazian, Endoscopic ultrasound-guided drainage of pancreatic fluid collections, Clinical Endoscopy [in Russian]. 3 (2012) 337-340.


[26] G.J. Vitas, M.G. Sarr, Selected management of pancreatic pseudocysts: operative versus expectant management, Annals of Surgery. 3 (1992) 123-130.


[27] W.D. Warren, W.H. Marsh, W.R. Sandusky, An appraisal of surgical procedures for pancreatic pseudocyst, Annals of Surgery. 6 (1958) 903-919.


[28] A.L. Warshaw, D.W. Rattner, Timing of surgical drainage for рancreaticрseudocyst. сlinical and сhemicalсriteria, Annals of Surgery. 6 (1985) 720-724.