The results of endosonography-assisted internal drainage of pancreatic pseudocyst
https://doi.org/10.16931/1995-5464.2019143-52
Abstract
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.
About the Authors
Yu. G. StarkovRussian Federation
Yury G. Starkov – Doct. of Med. Sci., Professor, Head of the Endoscopic Surgical Department
27, Bol'shaya Serpukhovskaya, Moscow, 115093
R. D. Zamolodchikov
Russian Federation
Rodion D. Zamolodchikov – Cand. of Med. Sci., Junior Research Fellow of the Endoscopic Surgical Department
27, Bolshaya Serpukhovskaya str., Moscow, 115093. Phone: +7-926-133-94-90
S. V. Dzhantukhanova
Russian Federation
Seda V. Dzhantukhanova – Cand. of Med. Sci., Senior Research Fellow of the Endoscopic Surgical Department
27, Bol'shaya Serpukhovskaya, Moscow, 115093
M. I. Vyborniy
Russian Federation
Mikhail I. Vyborniy – Cand. of Med. Sci., Research Fellow of the Endoscopic Surgical Department
27, Bol'shaya Serpukhovskaya, Moscow, 115093
K. V. Lukich
Russian Federation
Konstantin V. Lukich – Surgeon of the Endoscopic Surgical Department
27, Bol'shaya Serpukhovskaya, Moscow, 115093
A. S. Ibragimov
Russian Federation
Abduragim S. Ibragimov – Surgeon of the Endoscopic Surgical Department
27, Bol'shaya Serpukhovskaya, Moscow, 115093
I. M. Goncharov
Russian Federation
Ilya M. Goncharov – Resident of the Endoscopic Surgical Department
27, Bol'shaya Serpukhovskaya, Moscow, 115093
V. Yu. Lavrentyeva
Russian Federation
Valentina Yu. Lavrentyeva – Resident of the Endoscopic Surgical Department
27, Bol'shaya Serpukhovskaya, Moscow, 115093
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Review
For citations:
Starkov Yu.G., Zamolodchikov R.D., Dzhantukhanova S.V., Vyborniy M.I., Lukich K.V., Ibragimov A.S., Goncharov I.M., Lavrentyeva V.Yu. The results of endosonography-assisted internal drainage of pancreatic pseudocyst. Annaly khirurgicheskoy gepatologii = Annals of HPB Surgery. 2019;24(1):43-52. (In Russ.) https://doi.org/10.16931/1995-5464.2019143-52