Diagnosis and differential approach to the choice of treatment of pseudocysts of the pancreas
DOI:
https://doi.org/10.24144/2415-8127.2018.58.90-95Keywords:
pancreatic pseudocyst, acute pancreatitis, chronic pancreatitis, diagnosis, surgical tactics.Abstract
Conducted a prospective study of 182 patients with pancreatic pseudocyst. By studying changes in ion-acid-alkaline status of oral cysts contents ties the correlation between these indicators, indicators of proteinogram of blood, findings of ultrasound examination and computed tomography. The algorithm for surgical treatment of pancreatic pseudocysts for each of the clinical groups of patients has been developed. Patients of the first group the intervention was performed mainly in cyst, as the structural changes in the pancreas were minor and did not require correction. In the second group in 63.16% of patients had draining operations, in 57.89% of patients it was the final treatment, and in 15.80% required the correction of manifestations of chronic pancreatitis. In the third group of patients pancreas was almost completely struck by chronic inflammation of fibrous-degenerative character, calculosis, ductal hypertension, that’s why mostly direct interventions were performed in pancreas. New approaches to issues of diagnostic pathogenetically justify surgical treatment strategy for pancreatic pseudocyst using both minimally invasive and open surgery
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