Open AccessMinimally invasive surgery in the treatment of acute pancreatitis
Author(s) -
Э. Э. Топузов,
Топузов Эльдар Эскендерович,
Bella G. Tsatinyan,
Цатинян Бэлла Гарибовна,
Eskender G. Topuzov,
Топузов Эскендер Гафурович,
В К Балашов,
Балашов Вячеслав Кириллович,
Э. А. Аршба,
Аршба Эсма Алексеевна,
Ammar Ali,
Али Аммар Хуссейн,
Gumamurad B. Ataev,
Атаев Джумамурад Бекмурадович
Publication year - 2020
Publication title -
vestnik severo-zapadnogo gosudarstvennogo medicinskogo universiteta im. i.i. mečnikova
Language(s) - English
Resource type - Journals
eISSN - 2618-9704
pISSN - 2618-7116
DOI - 10.17816/mechnikov201911475-80
Subject(s) - medicine , acute pancreatitis , pancreatitis , surgery , psychological intervention , medical record , invasive surgery , psychiatry
Background. In recent years, the lethality from acute pancreatitis in Russia has not undergone significant changes and according to various data is from 15% to 25%.
Purpose. The evaluation of the performing minimally invasive interventions in the treatment of patients with moderate to severe acute pancreatitis.
Materials and methods. The authors retrospectively analyzed the medical records of 169 patients, the structure of mortality and complications depending on the choice of surgical intervention for the patients with acute pancreatitis of moderate and severe degree.
Results. Lethal outcomes in the group of patients using minimally invasive interventions amounted to 11.5%, in the group of patients using traditional operations 37.5%, p 0.05. Laparoscopic interventions were effective in 88.8% of the cases, and drug therapy had a positive effect in 81.2% of the cases, p 0.05.
Conclusion. It is shown that the use of minimally invasive techniques in the treatment of pancreatic necrosis significantly reduces the levels of mortality, postoperative complications, which improves the overall results of acute pancreatitis treatment.