Surgical treatment of acute biliary pancreatitis
The objective was to improve the management of patients with acute biliary pancreatitis against the background of cholecystocholedocholithiasis.Methods and materials. 107 patients with acute biliary pancreatitis against the background of cholecystocholedocholithiasis were treated between 2017 and 20...
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| Format: | Article |
| Language: | Russian |
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Pavlov First Saint Petersburg State Medical University
2021-06-01
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| Series: | Вестник хирургии имени И.И. Грекова |
| Subjects: | |
| Online Access: | https://www.vestnik-grekova.ru/jour/article/view/1647 |
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| author | A. Yu. Korolkov A. A. Smirnov D. N. Popov M. M. Saadylaeva T. O. Nikitina S. F. Bagnenko |
| author_facet | A. Yu. Korolkov A. A. Smirnov D. N. Popov M. M. Saadylaeva T. O. Nikitina S. F. Bagnenko |
| author_sort | A. Yu. Korolkov |
| collection | DOAJ |
| description | The objective was to improve the management of patients with acute biliary pancreatitis against the background of cholecystocholedocholithiasis.Methods and materials. 107 patients with acute biliary pancreatitis against the background of cholecystocholedocholithiasis were treated between 2017 and 2020 years. Patients suffering from mild and moderately severe acute biliary pancreatitis underwent single-step (laparoscopic cholecystectomy with endoscopic papillosphincterotomy) or two-step (endoscopic papillosphincterotomy with delayed laparoscopic cholecystectomy) surgical interventions. Patients with severe acute pancreatitis underwent endoscopic papillosphincterotomy with or without common bile duct and pancreatic duct stenting. The comparative analysis was made to estimate the efficiency of different surgical interventions in different groups of patients.Results. Patients with mild or moderately severe acute biliary pancreatitis showed better outcomes after single-step surgical intervention. Patients with severe acute biliary pancreatitis – after endoscopic papillosphincterotomy with common bile duct and pancreatic duct stenting.Conclusion. Single-step surgical interventions (laparoscopic cholecystectomy with endoscopic papillosphincterotomy) are shown for patients with mild or moderately severe acute biliary pancreatitis, because this approach helps to preserve the complications, specific for two-step interventions. The single-step approach authentically helps to decrease the duration of hospital stay and reduce treatment costs. The two-step approach is shown for patients with severe acute biliary pancreatitis, but endoscopic papillosphincterotomy with lithoextraction should be supplemented by common bile duct and pancreatic duct stenting, in order to reduce the number of complications associated with delayed cholecystectomy. |
| first_indexed | 2024-04-10T02:19:17Z |
| format | Article |
| id | doaj.art-2b44f8bfbef8476183c3b072d9cea60b |
| institution | Directory Open Access Journal |
| issn | 0042-4625 |
| language | Russian |
| last_indexed | 2024-04-10T02:19:17Z |
| publishDate | 2021-06-01 |
| publisher | Pavlov First Saint Petersburg State Medical University |
| record_format | Article |
| series | Вестник хирургии имени И.И. Грекова |
| spelling | doaj.art-2b44f8bfbef8476183c3b072d9cea60b2023-03-13T08:09:20ZrusPavlov First Saint Petersburg State Medical UniversityВестник хирургии имени И.И. Грекова0042-46252021-06-011801404410.24884/0042-4625-2021-180-1-40-441228Surgical treatment of acute biliary pancreatitisA. Yu. Korolkov0A. A. Smirnov1D. N. Popov2M. M. Saadylaeva3T. O. Nikitina4S. F. Bagnenko5Pavlov UniversityPavlov UniversityPavlov UniversityPavlov UniversityPavlov UniversityPavlov UniversityThe objective was to improve the management of patients with acute biliary pancreatitis against the background of cholecystocholedocholithiasis.Methods and materials. 107 patients with acute biliary pancreatitis against the background of cholecystocholedocholithiasis were treated between 2017 and 2020 years. Patients suffering from mild and moderately severe acute biliary pancreatitis underwent single-step (laparoscopic cholecystectomy with endoscopic papillosphincterotomy) or two-step (endoscopic papillosphincterotomy with delayed laparoscopic cholecystectomy) surgical interventions. Patients with severe acute pancreatitis underwent endoscopic papillosphincterotomy with or without common bile duct and pancreatic duct stenting. The comparative analysis was made to estimate the efficiency of different surgical interventions in different groups of patients.Results. Patients with mild or moderately severe acute biliary pancreatitis showed better outcomes after single-step surgical intervention. Patients with severe acute biliary pancreatitis – after endoscopic papillosphincterotomy with common bile duct and pancreatic duct stenting.Conclusion. Single-step surgical interventions (laparoscopic cholecystectomy with endoscopic papillosphincterotomy) are shown for patients with mild or moderately severe acute biliary pancreatitis, because this approach helps to preserve the complications, specific for two-step interventions. The single-step approach authentically helps to decrease the duration of hospital stay and reduce treatment costs. The two-step approach is shown for patients with severe acute biliary pancreatitis, but endoscopic papillosphincterotomy with lithoextraction should be supplemented by common bile duct and pancreatic duct stenting, in order to reduce the number of complications associated with delayed cholecystectomy.https://www.vestnik-grekova.ru/jour/article/view/1647acute biliary pancreatitischolelithiasislaparoscopic cholecystectomyendoscopic papillosphincterotomycholecystocholedocholithiasis |
| spellingShingle | A. Yu. Korolkov A. A. Smirnov D. N. Popov M. M. Saadylaeva T. O. Nikitina S. F. Bagnenko Surgical treatment of acute biliary pancreatitis Вестник хирургии имени И.И. Грекова acute biliary pancreatitis cholelithiasis laparoscopic cholecystectomy endoscopic papillosphincterotomy cholecystocholedocholithiasis |
| title | Surgical treatment of acute biliary pancreatitis |
| title_full | Surgical treatment of acute biliary pancreatitis |
| title_fullStr | Surgical treatment of acute biliary pancreatitis |
| title_full_unstemmed | Surgical treatment of acute biliary pancreatitis |
| title_short | Surgical treatment of acute biliary pancreatitis |
| title_sort | surgical treatment of acute biliary pancreatitis |
| topic | acute biliary pancreatitis cholelithiasis laparoscopic cholecystectomy endoscopic papillosphincterotomy cholecystocholedocholithiasis |
| url | https://www.vestnik-grekova.ru/jour/article/view/1647 |
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