Медицинская литература. Новинки

 

 

 

 

 

 

Результаты дуоденумсохраняющей резекции головки поджелудочной железы по Бегеру при хроническом панкреатите

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Цель работы – анализ результатов резекции головки поджелудочной железы с сохранением двенадцатиперстной кишки при хроническом панкреатите. У всех обследованных больных был болевой синдром различной степени выраженности. Стеноз общего желчного протока диагностирован у 22 (21,5%) больных (у 13 – с механической желтухой), стеноз двенадцатиперстной кишки – у 6 (5,8%), портальная гипертензия – у 19 (18,6%). Помимо указанных осложнений, отмечены следующие морфологические изменения поджелудочной железы: кальциноз паренхимы у 11 (10,7%) больных, вирсунголитиаз – у 11 (10,7%), псевдокисты – у 26 (25,5%). Анализ осложнений, качества жизни, ранней и поздней летальности показывает, что такое органосохраняющее вмешательство, как операция Бегера, является надежным и безопасным методом устранения основных симптомов и осложнений хронического панкреатита.

Ключевые слова:
хронический панкреатит, резекция поджелудочной железы, панкреатодигестивный анастомоз.

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The Results of Duodenum Preserving Pancreatic Head Resection by Begger in Chronic Pancreatitis

The purpose of the study is an analysis of results of the duodenumpreserving pancreatic head resection in chronic pancreatitis (CP). All patients had various degree pain syndrome. The common bile duct stenosis was revealed in 22 (21.5%) patients (with obstructive jaundice in 13 out of them), duodenal stenosis – in 6 (5.8%), portal hypertension – in 19 (18.6%). Besides the specified complications, the following morphological changes of the pancreas were noted: pancreaticolythiasis – in 11 (10.7 %), virsungolithiasis – in 11 (10.7 %) and pseudocysts – in 26 (25.5 %) patients. An analysis of the complications, of the quality of life early and remote mortality rate revealed, that Begger procedure is safe organ-preserving surgical tool for CP main symptoms and complications dissolution.

Keywords:
chronic pancreatitis, pancreatic resection, pancreatic%digestive anastomosis.