Observations of Diagnosticis and Treatment of Acute Pancreatitis

Abstract


Relevance There are common mistakes of diagnosis pancreonecrosis, statistical calculation extends from 2% to 10%, as for
postoperative mortality it's from 21% to 29,3%.
The purpose of the study To improv the results of treatment patients with acute pancreatitis by well-timed diagnostics and optimization
of surgical treatment methods for patients with pancreonecrosis.
Materials and methods We analyzed the results of examinations and treatment of 1536 patients with acute pancreatitis. Patients had
got all complex of examinations including laboratory analyzes, X-rays, ultrasonography, endoscopy.
Results and their discussion Edematous form of pancreatitis which didn't require surgery was observed among 1135 (73,8%)
patients, destructive form was observed among 401 (26,1%) patients. There were revealed diagnostic mistakes connected with
untimely detection of pancreatitis with destructive forms, it had been among 17 (1%) patients. In general 1170 (76,2%) patients
got conservative treatment, amongst them lethality was 35 (2,2%), 366 (23,8%) patients needed surgery. Totally 439 surgeons
were made such as 159 (10,3%) minimally invasive percutaneous drainage of purulent cavities controlled by ultrasonography, 141
(9,2%) laparoscopic sanitations and abdominal cavity drainage, 139 surgery including laparotomy and lumbotomy with framed
bursoomentostomy on purpose to make programmed sanitations of omental bursa and retroperitoneal area which were added with
cholecystectomy and drainage of extrahepatic biliary tract in 20 cases. The postoperative lethality level reduced from 18% in 2010
till 10,4% in 2014, the general lethality level lowered from 6,3% to 4,7%.
Сonclusion It's necessary to use differential access to improve treatment results of pancreonecrosis complications


Kursk State Medical University, 3 K. Marksa Str., Kursk, 305041, Russian Federation

Author for correspondence.
Email: admin@vestnik-surgery.com
MD, Prof., the head of the department of General Surgery, Kursk State Medical University

Kursk State Medical University, 3 K. Marksa Str., Kursk, 305041, Russian Federation

Email: admin@vestnik-surgery.com
assistant prof., department of General Surgery Kursk State Medical University

City Clinical Emergency Hospital, 14 Pirogova Str., Kursk, 305041, Russian Federation

Email: admin@vestnik-surgery.com
a surgeon of the department of General Surgery

City Clinical Emergency Hospital, 14 Pirogova Str., Kursk, 305041, Russian Federation

Email: admin@vestnik-surgery.com
a surgeon of the department of General Surgery

Kursk State Medical University, 3 K. Marksa Str., Kursk, 305041, Russian Federation

Email: admin@vestnik-surgery.com
assistant prof., department of General Surgery Kursk State Medical University

City Clinical Emergency Hospital, 14 Pirogova Str., Kursk, 305041, Russian Federation

Email: admin@vestnik-surgery.com
the head of the department of suppurative surgical infection

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