Chronic Pancreatitis Complicated by Pancreaticоpleural Fistula
https://doi.org/10.16931/1995-5464.2016430-34
Abstract
Aim. To determine surgical tactics in patients with chronic pancreatitis complicated by pancreaticopleural fistula.
Material and Methods. The study is founded on the analysis of surgical treatment of 7 patients with chronic pancreatitis complicated by pancreaticopleural fistula. The choice of sequence and amount of surgical treatment depended on timely diagnostics, severity of pancreatitis, pleural and pericardial complications. Pleural aspiration was carried out in all patients before pancreatic surgery. In 2 cases simultaneous thoracoscopy with pleural aspiration and pancreatic surgery
were performed. Distal hemipancreatectomy with splenectomy was carried out in 1 case. Puestow procedure with external drainage of pancreatic pseudocyst was carried in all other cases.
Results. Complementary pleural aspirations were required for 3 patients in postoperative period. Patients treated by videothoracoscopy did not undergo complementary pleural aspirations. Pleural drains were removed in 6 and 8 days. There were no lethal outcomes. Within 1 year diabetes developed in 1 patient after distal pancreatectomy.
Conclusion. Early diagnosis and timely consistent treatment provide better results in these patients.
About the Authors
D. M. Krasilnikov
Kazan State Medical University (Department of Surgical Diseases №1), Republican Clinical Hospital
Russian Federation
Russian Federation
Doct. of Med. Sci., Professor, Head of the Department of Surgical Diseases №1, Kazan State Medical University, Head of Surgical Clinic of Republican Clinical Hospital
V. Yu. Matveev
Kazan State Medical University (Department of Surgical Diseases №1), Republican Clinical Hospital
Russian Federation
Russian Federation
Cand. of Med. Sci., Assistant of the Department of Surgical Diseases №1, Kazan State Medical University, Thoracic Surgeon of Republican Clinical Hospital
A. V. Abdul'yanov
Kazan State Medical University (Department of Surgical Diseases №1), Republican Clinical Hospital
Russian Federation
Russian Federation
Cand. of Med. Sci., Associate Professor of the Department of Surgical Diseases №1
of Kazan State Medical University, Surgeon of Republican Clinical Hospital
I. I. Malova
Kazan State Medical University (Department of Surgical Diseases №1), Republican Clinical Hospital
Russian Federation
Russian Federation
Assistant of the Department of Surgical Diseases №1, Kazan State Medical University, Surgeon of Republican Clinical Hospital
A. M. Imamova
Kazan State Medical University (Department of Surgical Diseases №1), Republican Clinical Hospital
Russian Federation
Russian Federation
Graduate Student of the Department of Surgical Diseases №1, Kazan State Medical University, Surgeon of Republican Clinical Hospital
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Review
For citations:
Krasilnikov D.M., Matveev V.Yu., Abdul'yanov A.V., Malova I.I., Imamova A.M. Chronic Pancreatitis Complicated by Pancreaticоpleural Fistula. Annaly khirurgicheskoy gepatologii = Annals of HPB Surgery. 2016;21(4):30-34. https://doi.org/10.16931/1995-5464.2016430-34
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