CHOICE OF THE WAY OF PANCREATICODIGESTIVE FISTULA IN PANCREATICODUODENAL RESECTION

The author offered an algorithm of definition of optimal ways of pancreaticodigestive fistula formation in pancreaticoduodenal resection. It is based on the following factors such as tissue conditions of the pancreas gland stump, a diameter of pancreatic duct and compliance with cut dimensions of gl...

Full description

Bibliographic Details
Main Author: G. M. Barvanyan
Format: Article
Language:Russian
Published: Pavlov First Saint Petersburg State Medical University 2018-01-01
Series:Вестник хирургии имени И.И. Грекова
Subjects:
Online Access:https://www.vestnik-grekova.ru/jour/article/view/598
_version_ 1797877629073752064
author G. M. Barvanyan
author_facet G. M. Barvanyan
author_sort G. M. Barvanyan
collection DOAJ
description The author offered an algorithm of definition of optimal ways of pancreaticodigestive fistula formation in pancreaticoduodenal resection. It is based on the following factors such as tissue conditions of the pancreas gland stump, a diameter of pancreatic duct and compliance with cut dimensions of gland stump of anastomotic loop of the jejunum. A comparative analysis of pancreaticodigestive fistulas performance was made in 2 groups. An algorithm of choice of pancreaticodigestive anastomosis was applied in the main group (n=35). An inconsistency of pancreaticodigestive fistula was noted in the main group (5,7%) and in the comparative group (n=59) - 17% (p=0,205). There weren’t any cases of destructive pancreatitis and lethality, which were directly specified by pancreaticodigestive anastomosis in the main group. Destructive pacreatitis developed in 10,1% cases in the comparative group. The lethality consisted of 5,1%. The results obtained confirmed the efficacy of individualized approach to formation of pancreaticodigestive fistulas and showed the practical value of investigation in this way.
first_indexed 2024-04-10T02:21:17Z
format Article
id doaj.art-09ad8e8fe85f4bd88d6c6bd5c10b3078
institution Directory Open Access Journal
issn 0042-4625
language Russian
last_indexed 2024-04-10T02:21:17Z
publishDate 2018-01-01
publisher Pavlov First Saint Petersburg State Medical University
record_format Article
series Вестник хирургии имени И.И. Грекова
spelling doaj.art-09ad8e8fe85f4bd88d6c6bd5c10b30782023-03-13T08:09:14ZrusPavlov First Saint Petersburg State Medical UniversityВестник хирургии имени И.И. Грекова0042-46252018-01-011736273010.24884/0042-4625-2014-173-6-27-30597CHOICE OF THE WAY OF PANCREATICODIGESTIVE FISTULA IN PANCREATICODUODENAL RESECTIONG. M. Barvanyan0Komi republican hospitalThe author offered an algorithm of definition of optimal ways of pancreaticodigestive fistula formation in pancreaticoduodenal resection. It is based on the following factors such as tissue conditions of the pancreas gland stump, a diameter of pancreatic duct and compliance with cut dimensions of gland stump of anastomotic loop of the jejunum. A comparative analysis of pancreaticodigestive fistulas performance was made in 2 groups. An algorithm of choice of pancreaticodigestive anastomosis was applied in the main group (n=35). An inconsistency of pancreaticodigestive fistula was noted in the main group (5,7%) and in the comparative group (n=59) - 17% (p=0,205). There weren’t any cases of destructive pancreatitis and lethality, which were directly specified by pancreaticodigestive anastomosis in the main group. Destructive pacreatitis developed in 10,1% cases in the comparative group. The lethality consisted of 5,1%. The results obtained confirmed the efficacy of individualized approach to formation of pancreaticodigestive fistulas and showed the practical value of investigation in this way.https://www.vestnik-grekova.ru/jour/article/view/598панкреатодуоденальная резекцияпанкреатодигестивные анастомозывыборpancreaticoduodenal resectionpancreaticodigestive anastomosischoice
spellingShingle G. M. Barvanyan
CHOICE OF THE WAY OF PANCREATICODIGESTIVE FISTULA IN PANCREATICODUODENAL RESECTION
Вестник хирургии имени И.И. Грекова
панкреатодуоденальная резекция
панкреатодигестивные анастомозы
выбор
pancreaticoduodenal resection
pancreaticodigestive anastomosis
choice
title CHOICE OF THE WAY OF PANCREATICODIGESTIVE FISTULA IN PANCREATICODUODENAL RESECTION
title_full CHOICE OF THE WAY OF PANCREATICODIGESTIVE FISTULA IN PANCREATICODUODENAL RESECTION
title_fullStr CHOICE OF THE WAY OF PANCREATICODIGESTIVE FISTULA IN PANCREATICODUODENAL RESECTION
title_full_unstemmed CHOICE OF THE WAY OF PANCREATICODIGESTIVE FISTULA IN PANCREATICODUODENAL RESECTION
title_short CHOICE OF THE WAY OF PANCREATICODIGESTIVE FISTULA IN PANCREATICODUODENAL RESECTION
title_sort choice of the way of pancreaticodigestive fistula in pancreaticoduodenal resection
topic панкреатодуоденальная резекция
панкреатодигестивные анастомозы
выбор
pancreaticoduodenal resection
pancreaticodigestive anastomosis
choice
url https://www.vestnik-grekova.ru/jour/article/view/598
work_keys_str_mv AT gmbarvanyan choiceofthewayofpancreaticodigestivefistulainpancreaticoduodenalresection