Open AccessThe results of endosonography-assisted internal drainage of pancreatic pseudocyst
Author(s) -
Ю. Г. Старков,
Р. Д. Замолодчиков,
S.V. Dzhantukhanova,
М. И. Выборный,
К. В. Лукич,
А. С. Ибрагимов,
И. М. Гончаров,
В. Ю. Лаврентьева
Publication year - 2019
Publication title -
annaly hirurgičeskoj gepatologii
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.138
H-Index - 1
eISSN - 2408-9524
pISSN - 1995-5464
DOI - 10.16931/1995-5464.2019143-52
Subject(s) - medicine , pancreatic pseudocyst , drainage , surgery , pancreatitis , complication , incidence (geometry) , blood loss , radiology , general surgery , ecology , physics , optics , biology
Aim. To compare immediate and long-term results of internal drainage of pancreatic pseudocyst by using of endosonography-assisted and open surgical approaches. Material and methods. EUS-assisted internal drainage of pancreatic pseudocyst was performed in 32 patients in 2011–2016. Open drainage procedures were carried out on the other 32 patients. Results. In the group of endoscopic drainage, technical success rate, clinical success rate and complication rate were 97%, 85% and 26%, respectively. There were no recurrent pseudocysts in long-term period. Comparison with open surgery confirmed advantages of endoscopic technique regarding time of operation (p< 0.01), intraoperative blood loss (p< 0.01) and length of hospital-stay (p< 0.01). Conclusion. EUS-assisted internal drainage of pancreatic pseudocysts in the treatment of chronic pancreatitis is characterized by high rate of technical and clinical success, small postoperative morbidity and low incidence of longterm recurrences.