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Панкреатодигестивный анастомоз - ключ к благоприятному исходу панкреатодуоденальной резекции

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Представлены результаты различных исследований и метаанализов, посвященных оценке частоты формирования клинически значимых панкреатических свищей при различных видах панкреатодигестивных анастомозов. Панкреатодигестивный анастомоз не является независимым фактором прогноза панкреатических осложнений. Ни один из современных видов панкреатодигестивного соустья не доказал своего преимущества. В основе выбора панкреатодигестивного анастомоза лежат правильный выбор органа, с которым соединяют культю поджелудочной железы, опыт и мастерство хирурга в формировании соустья.

Ключевые слова:
поджелудочная железа, проток поджелудочной железы, панкреатодуоденальная резекция, панкреатогастроанастомоз, панкреатоеюноанастомоз, свищ, pancreas, pancreatic duct, pancreatoduodenal resection, pancreato-gastric anastomosis, pancreatico-jejunal anastomosis, fistula

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Pancreatodigestive anastomosis: the key to a favorable outcome of pancreaticoduodenal resection

The paper presents the results of various studies and meta-analyses which focus on assessing the frequency of formation of clinically significant pancreatic fistulas in various types of pancreatic-digestive anastomoses. Pancreatodigestive anastomosis is not an independent predictive factor of pancreatic complications. None of the modern types of pancreatodigestive anastomosis has proved its superiority. The choice of the pancreatodigestive anastomosis method is based on the correct selection of the organ with which the pancreatic stump is connected and the surgeon’s experience and skill in forming the anastomosis.

Keywords:
поджелудочная железа, проток поджелудочной железы, панкреатодуоденальная резекция, панкреатогастроанастомоз, панкреатоеюноанастомоз, свищ, pancreas, pancreatic duct, pancreatoduodenal resection, pancreato-gastric anastomosis, pancreatico-jejunal anastomosis, fistula