New method for surgical treatment of pancreatic head cysts
https://doi.org/10.16931/1995-5464.2024-2-99-104
Abstract
Aim. To evaluate the clinical efficacy of a new method for drainage of pancreatic head cysts.
Materials and methods. The results of treatment of 3 patients with pancreatic head cysts were analyzed in a new way. In all patients, cysts developed against the background of recurrent pancreatitis; the etiology of pancreatitis was alimentary. All cysts were located in the pancreatic head, mainly on its posterior surface, communicating with the ductal system.
Results. No intra- and postoperative complications were revealed. Patients were discharged from hospital on the 8–12th day after surgery. In all observations, good results were obtained: no pain syndrome reported; psychological status and food intake normalized. α-amylase in urine and plasma has not increased. No recurrence of cysts and no hospitalizations for acute pancreatitis were reported.
Conclusion. The developed method for treating pancreatic head cysts communicating with the ductal system proved to be physiological, low-traumatic and can be used in surgical practice.
About the Authors
D. V. Savin
Orenburg State Medical University; City Clinical Hospital named after N.I. Pirogov
Russian Federation
Russian Federation
Dmitriy V. Savin, Cand. of Sci. (Med.), Associate Professor, Deputy Chief Physician for Surgery
Department of Faculty Surgery
460000; 6, Sovetskaya str.; 460048; 140V, Pobedy Ave.; Orenburg
D. B. Demin
Orenburg State Medical University; Orenburg Regional Clinical Hospital named after V.I. Voynov
Russian Federation
Russian Federation
Dmitriy B. Demin, Doct. of Sci. (Med.), Professor, Head of the Department, Deputy Chief Physician for Surgery
Department of Faculty Surgery
460000; 6, Sovetskaya str.; 460024; 23, Aksakov str.; Orenburg
L. M. Zheleznov
Kirov State Medical University
Russian Federation
Russian Federation
Lev M. Zheleznov, Doct. of Sci. (Med.), Professor, Professor of the Department, Rector
Department of Human Anatomy
610027; 112, K. Marx str.; Kirov
References
1. Reys A.B., Morozov S.V., Poluektov V.L., Dolgikh V.T. Surgical treatment of patients with post-necrotic pancreatic cysts. Medicine in Kuzbass. 2015; 14 (2): 48–52. (In Russian)
2. Neledova L.A., Mizgirev D.V., Duberman B.L. Choice of minimally invasive method of treatment of pancreatic pseudocysts: a single center, retrospective study. Kazan Medical Journal. 2018; 99 (6): 1016–1021. doi: 10.17816/KMJ2018-1016 (In Russian)
3. Andrén-Sandberg A., Dervenis C. Pancreatic pseudocysts in the 21<sup>st</sup> century. Part I: classification, pathophysiology, anatomic considerations and treatment. JOP. 2004; 5 (1): 8–24.
4. Bergman S., Melvin W.S. Operative and nonoperative management of pancreatic pseudocysts. Surg. Clin. North Am. 2007; 87 (6): 1447–1460. doi: 10.1016/j.suc.2007.09.003
5. Nartajlakov M.A., Peshkov N.V., Murmanskij N.A., Salimgareev I.Z., Galimov I.I., Bayazitova G.R. Surgical treatment of chronic pancreatitis and pancreatic cysts. Kazan Medical Journal. 2007; 88 (5): 472–476. (In Russian)
6. Vorobej A.V., Shulejko A.Ch., Vizhinis E.I., Orlovskij Yu.N. Will we use drainage operations for chronic pancreatitis in the future? (Systematic review). Annaly khirurgicheskoy gepatologii = Annals of HPB Surgery. 2016; 21 (4): 70–83. URL: https://hepato.elpub.ru/jour/article/viewFile/80/73 (In Russian)
7. Bagnenko S.F., Kurygin A.A., Ruhlyada N.V., Smirnov A.D. Khronicheskij pankreatit: Rukovodstvo dlya vrachej [Chronic Pancreatitis. A Guide for Doctors]. St. Petersburg: Piter, 2000. 420 p. (In Russian)
8. Kriger A.G. Khirurgicheskaya pankreatologiya [Surgical Pancreatology]. Moscow: RIA “Vneshtorgizdat”, 2021. 332 p. (In Russian)
9. Danilov M.V., Fedorov V.D. Khirurgiya podzheludochnoj zhelezy : Rukovodstvo dlya vrachej [Pancreatic Surgery : A Guide for Doctors]. Moscow: Medicine, 1995. 512 p. (In Russian)
10. Ivshin V.G. Original'nye metodiki chreskozhnyh invazivnyh vmeshatel'stv na organah bryushnoj polosti [Original Techniques of Percutaneous Invasive Interventions on Abdominal Cavity Organs]. Tula: Aquarius, 2016. 146 p. (In Russian)
11. Parfenov I.P., Bedin V.V., Korzheva I.Yu., Shabunin A.V., Komissarov D.Yu., Vengerov V.Yu. Low-trauma treatment of chronic pancreatitis complicated by isolated pseudocysts of the pancreas. Moscow Surgical Journal. 2018; 5 (63): 45–50. doi: 10.17238/issn2072-3180.2018.5.45-50 (In Russian)
12. Sled O.N., Merzlikin N.V., Sled N.Yu., Popov A.E., Mendeleeva L.Ya., Kosmachenko S.P., Tumakov I.O. Surgical treatment of chronic cystic pancreatitis. Bulletin of Siberian medicine. 2016; 15 (2): 85–97. doi: 10.20538/1682-0363-2016-2-85-97 (In Russian)
13. Shabunin A.V., Bеdin V.V., Korzheva I.Yu., Komissarov D.Yu., Vengerov V.Yu. Modern approaches to the treatment of chronic pancreatitis complicated by pancreatic pseudocysts. Annaly khirurgicheskoy gepatologii = Annals of HPB Surgery. 2017; 22 (4): 31–38. doi: 10.16931/1995-5464.2017431-38 (In Russian)
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For citations:
Savin D.V., Demin D.B., Zheleznov L.M. New method for surgical treatment of pancreatic head cysts. Annaly khirurgicheskoy gepatologii = Annals of HPB Surgery. 2024;29(2):99-104. (In Russ.) https://doi.org/10.16931/1995-5464.2024-2-99-104
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