Estimation of results of surgical treatment of the acute destructive pancreatitis


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Acute pancreatitis for several years consistently ranks second, and in some regions - fi rst place in the structure of the urgent surgical pathology, ahead of acute appendicitis and acute cholecystitis. The most common cause of disease is alcohol abuse and gallstone disease in 10-30% of patients the etiology of acute pancreatitis remains unclear. Basis of the study were the results of examination and treatment of 276 patients with destructive forms of acute pancreatitis, ¬ Shih enrolling for treatment at the Clinical Hospital № 23 them. “Medsantrud” in the period from 2006 to 2010. In the studied group did not include the postoperative biliary and infected pancreatic necrosis because of features of pathogenesis. Differentiated approach to surgical treatment in patients with destructive pancreatitis depending on the scale of the initial lesion of the pancreas has allowed an average reduction in the number of purulent complications per patient in 4 times (from 9,8% to 2,2%), lower letalnost of purulent complications 3 times (from 15,3% to 5,5%), and consequently reduce the overall mortality in 2,5 times (from 25,0% to 9,8%).

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Первый Московский государственный медицинский университет им. И.М.Сеченова

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Email: Toshik@yandex.ru
доктор медицинских наук, профессор кафедры общей хирургии Первого Московского государственного медицинского университета им. И.М.Сеченова

Первый Московский государственный медицинский университет им. И.М.Сеченова

Email: Tos-hik@yandex.ru
кандидат медицинских наук, ассистент кафедры общей хирургии Первого Московского государственного медицинского университета им. И.М.Сеченова

Первый Московский государственный медицинский университет им. И.М.Сеченова

Email: Tos-hik@yandex.ru
старший лаборант кафедры общей хирургии Первого Московского государственного медицинского университета им. И.М.Сеченова

Первый Московский государственный медицинский университет им. И.М.Сеченова

Email: Tos-hik@yandex.ru
клинический ординатор кафедры общей хирургии Первого Московского государственного медицинского университета им. И.М.Сеченова

References

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