Open AccessSurgical treatment for cystic lesions of the pancreas
Author(s) -
Г Д Одишелашвили,
Sergey Shashin,
Ramazan Ilyasov,
Д. В. Пахнов,
Shamil Ilyasov,
Н.Г. Одишелашвили
Publication year - 2022
Publication title -
archiv euromedica
Language(s) - English
Resource type - Journals
eISSN - 2199-885X
pISSN - 2193-3863
DOI - 10.35630/2199-885x/2022/12/1.14
Subject(s) - medicine , cystectomy , surgery , drainage , pancreas , ecology , bladder cancer , cancer , biology
During the period 2011–2021, 45 patients with pancreatic cysts were treated at the AlexanderMariinsky Regional Clinical Hospital in Astrakhan. All patients were divided into 2 groups. 20 patients of the first group (45%) underwent external drainage of cysts, 7 out of them underwent obliteration of residual cavities by the method developed by us. To do this, the drug Povidone – Iodine 10% was used. The second group included 25 (55%) patients with internal drainage of cysts: in 5 patients (11%) pancreacystogastrostomy was performed; in 9 patients (20%) — pancreatocystoejunostomy; in 5 patients (11%) — pancreatic drainage; in 5 (11%) — laparoscopic cystectomy; and open echinococcectomy was performed in 1 patient (2%). Clinical, laboratory, instrumental and statistical research methods were carried out. A comparative evaluation of two methods of drainage operations for pancreatic cysts showed the advantage of internal drainage over external. 7 (16%) patients had a variety of complications. The recurrence of cysts was 4 (9%) cases. All the patients recovered. There were no cases of lethality.