Pancreatic Pseudocysts: the Effectiveness of Percutaneous Minimally Invasive Technology of Pancreatoсystogastrostomy Formation on the Stent
https://doi.org/10.16931/10.16931/1995-5464.20153117-123
Abstract
Aim. To analyze the effectiveness of percutaneous minimally invasive technology of pancreatroсystgastrostomy formation
on the stent.
Material and Methods. The study group consisted of 37 patients with symptomatic single pancreatic pseudocysts type 2 (according to the D'Egidio classification) more than 5 cm in diameter. Modified minimally invasive technique (percutaneous transgastric pancreatoсystogastrostomy followed by stenting of anastomosis under ultrasound and endoscopic guidance) was applied. The control group consisted of 55 patients who underwent traditional surgical
methods (pancreatoсystogastrostomy, pancreatoсystojejunostomy). Duration of surgery, postoperative hospital-stay and incidence of complications were analyzed. Follow-up examinations were performed at 6, 12 and 24 months.
Results. The use of modified technique reduced duration of surgery from 135 minutes (110; 170) in the control group to 15 minutes (12; 22) in the study group (p < 0.0001), postoperative hospital stay to 4 (3, 5) days (vs. 14 days (11; 18) in the control group, p < 0.0001). Postoperative complications occurred in 2 (5.4%) and 12 (21.8%) patients of main and control groups respectively (p = 0.048). Recurrence of pseudocyst was detected in 7 (12.7%) patients in the control group while in the study group recurrence was absent (p = 0.039). There were no deaths in both groups.
Conclusion. Percutaneous transgastric pancreatoсystogastrostomy is an effective treatment for patients with pancreatic pseudocysts type 2 according to D'Egidio classification
About the Authors
D. P. Khar’kov
Republican Scientific Practical Center of Organs and Tissues Transplantation, Minsk
Belarus
Belarus
Surgeon at the Transplantation Department, Republican Scientific Practical Center of Organs and Tissues Transplantation
A. M. Fedoruk
Republican Scientific Practical Center of Organs and Tissues Transplantation, Minsk
Belarus
Belarus
Doct. of Med. Sci., Professor of the Chair of Transplantology,
Belarusian Medical Academy of Postgraduate Education, Head of the Department of Hepatology and Minimally Invasive
Surgery of Republican Scientific Practical Center of Organs and Tissues Transplantation
A. V. Savchenko
Republican Scientific Practical Center of Organs and Tissues Transplantation, Minsk
Belarus
Belarus
Head of the Department of Endoscopy, Republican Scientific Practical Center of Organs and Tissues Transplantation
O. O. Rummo
Republican Scientific Practical Center of Organs and Tissues Transplantation, Minsk
Belarus
Belarus
Doct. of Med. Sci., Professor of the Chair of Transplantology, Belarusian Medical Academy of Postgraduate Education, Head of Republican Scientific Practical Center of Organs and Tissues Transplantation
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Review
For citations:
Khar’kov D.P., Fedoruk A.M., Savchenko A.V., Rummo O.O. Pancreatic Pseudocysts: the Effectiveness of Percutaneous Minimally Invasive Technology of Pancreatoсystogastrostomy Formation on the Stent. Annaly khirurgicheskoy gepatologii = Annals of HPB Surgery. 2015;20(3):117-123. (In Russ.) https://doi.org/10.16931/10.16931/1995-5464.20153117-123
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