[Surgical treatment of acute biliary pancreatitis]
Journal - Khirurgiia (RUSSIA )
The analysis of surgical treatment of 126 patients with acute biliary pancreatitis is made. The authors follow an active surgical policy in patients with justified risk of surgery. The operation is carried out in two stages: 1st-radical elimination of pathologic changes of extrahepatic bile ducts, restoration of the passage through the large duodenal papilla (LDP), and 2nd stage is the operation on the pancreas. The indications and contraindications for transduodenal intervention in acute biliary pancreatitis have been determined. The authors think it necessary in destructive forms of acute pancreatitis accompanied by extensive fermentative damage of parapancreatic and retroperitoneal cellular tissue to remove it thoroughly and to drain it widely. The reoperation should be performed not earlier that 12-21 days after the initial operation. Postoperative lethality was 8.7%.
|ISSN : ||0023-1207|
|Mesh Heading : ||Acute Disease Adult Aged Aged, 80 and over Ampulla of Vater Bile Ducts, Extrahepatic Biliary Tract Diseases Female Follow-Up Studies Humans Male Middle Aged Pancreatitis Postoperative Complications Reoperation Risk Factors surgery surgery complications etiology surgery adverse effects methods|
|Mesh Heading Relevant : ||Surgical Procedures, Operative surgery surgery|