Possibility of prognostication for unfavorable results of the pancreaticoduodenal resection on background of the obturation jaundice syndrome
Objective. To determine the possibility of prognostication of unfavorable course of postoperative period in the aspect of the planned pancreaticoduodenal resection for focal affection of pancreaticoduodenal zone on background of obturation jaundice. Materials and methods. The pancreatic head canc...
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| Format: | Article |
| Language: | Russian |
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Liga-Inform ltd.
2019-10-01
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| Series: | Клінічна хірургія |
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| Online Access: | https://hirurgiya.com.ua/index.php/journal/article/view/743 |
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| author | P. T. Muraviov B. S. Zaporozhchenko I. E. Borodaev V. G. Shevchenko |
| author_facet | P. T. Muraviov B. S. Zaporozhchenko I. E. Borodaev V. G. Shevchenko |
| author_sort | P. T. Muraviov |
| collection | DOAJ |
| description | Objective. To determine the possibility of prognostication of unfavorable course of postoperative period in the aspect of the planned pancreaticoduodenal resection for focal affection of pancreaticoduodenal zone on background of obturation jaundice.
Materials and methods. The pancreatic head cancer was verified in 174 (64.0%) patients, cancer of the duodenal papilla magna - in 20 (7.4%), cancer of distal hepaticocholedochus - in 24 (8.8%), chronic pseudotumoral pancreatitis - in 54 (20.0%) patients. In the main group (112 patients) preparation to operative intervention was conducted in accordance to elaborated algorithm, and in a control group (160 patients) - in accordance to conventional standards.
Results. Pancreaticoduodenal resection with formation of termino-lateral anastomosis in accordance to Whipple procedure was performed in 38 (14.0%) patients, termino-terminal anastomosis in accordance to procedure of Shalimov-Kopchak - in 40 (14.7%), ductomucous pancreaticojejunoanastomosis - in 127 (46.7%), pancreaticogastroanastomosis with invagination of the pancreatic stump into the gastric stump - in 35 (12.9%), pancreaticogastrostomy with deepening of the pancreatic stump into the sleeve, made of the big gastric curvature - in 32 (11.8%). Insufficiency of pancreaticodigestive anastomosis have occurred in 32 (11.8%) patients. Mortality have constituted 5.1%. |
| first_indexed | 2024-04-09T15:58:54Z |
| format | Article |
| id | doaj.art-d9f8b6c2175a477497e73b24a57ba4e8 |
| institution | Directory Open Access Journal |
| issn | 0023-2130 2522-1396 |
| language | Russian |
| last_indexed | 2024-04-09T15:58:54Z |
| publishDate | 2019-10-01 |
| publisher | Liga-Inform ltd. |
| record_format | Article |
| series | Клінічна хірургія |
| spelling | doaj.art-d9f8b6c2175a477497e73b24a57ba4e82023-04-25T13:54:33ZrusLiga-Inform ltd.Клінічна хірургія0023-21302522-13962019-10-01861081110.26779/2522-1396.2019.10.08743Possibility of prognostication for unfavorable results of the pancreaticoduodenal resection on background of the obturation jaundice syndromeP. T. Muraviov0B. S. Zaporozhchenko1I. E. Borodaev2V. G. Shevchenko3Odessa National Medical UniversityOdessa National Medical UniversityOdessa National Medical UniversityOdessa National Medical UniversityObjective. To determine the possibility of prognostication of unfavorable course of postoperative period in the aspect of the planned pancreaticoduodenal resection for focal affection of pancreaticoduodenal zone on background of obturation jaundice. Materials and methods. The pancreatic head cancer was verified in 174 (64.0%) patients, cancer of the duodenal papilla magna - in 20 (7.4%), cancer of distal hepaticocholedochus - in 24 (8.8%), chronic pseudotumoral pancreatitis - in 54 (20.0%) patients. In the main group (112 patients) preparation to operative intervention was conducted in accordance to elaborated algorithm, and in a control group (160 patients) - in accordance to conventional standards. Results. Pancreaticoduodenal resection with formation of termino-lateral anastomosis in accordance to Whipple procedure was performed in 38 (14.0%) patients, termino-terminal anastomosis in accordance to procedure of Shalimov-Kopchak - in 40 (14.7%), ductomucous pancreaticojejunoanastomosis - in 127 (46.7%), pancreaticogastroanastomosis with invagination of the pancreatic stump into the gastric stump - in 35 (12.9%), pancreaticogastrostomy with deepening of the pancreatic stump into the sleeve, made of the big gastric curvature - in 32 (11.8%). Insufficiency of pancreaticodigestive anastomosis have occurred in 32 (11.8%) patients. Mortality have constituted 5.1%.https://hirurgiya.com.ua/index.php/journal/article/view/743prognostication; bilary decompression; pancreaticoduodenal resection; pancreatic gland; obturation jaundice; anastomosis |
| spellingShingle | P. T. Muraviov B. S. Zaporozhchenko I. E. Borodaev V. G. Shevchenko Possibility of prognostication for unfavorable results of the pancreaticoduodenal resection on background of the obturation jaundice syndrome Клінічна хірургія prognostication; bilary decompression; pancreaticoduodenal resection; pancreatic gland; obturation jaundice; anastomosis |
| title | Possibility of prognostication for unfavorable results of the pancreaticoduodenal resection on background of the obturation jaundice syndrome |
| title_full | Possibility of prognostication for unfavorable results of the pancreaticoduodenal resection on background of the obturation jaundice syndrome |
| title_fullStr | Possibility of prognostication for unfavorable results of the pancreaticoduodenal resection on background of the obturation jaundice syndrome |
| title_full_unstemmed | Possibility of prognostication for unfavorable results of the pancreaticoduodenal resection on background of the obturation jaundice syndrome |
| title_short | Possibility of prognostication for unfavorable results of the pancreaticoduodenal resection on background of the obturation jaundice syndrome |
| title_sort | possibility of prognostication for unfavorable results of the pancreaticoduodenal resection on background of the obturation jaundice syndrome |
| topic | prognostication; bilary decompression; pancreaticoduodenal resection; pancreatic gland; obturation jaundice; anastomosis |
| url | https://hirurgiya.com.ua/index.php/journal/article/view/743 |
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