Possibilities of applying minimally invasive technologies in the treatment of complications in patients after pancreatoduodenectomy
M. Yu. Kabanov,
D. M. Yakovleva,
K. V. Sementsov,
D. B. Degtеrev,
M. Ya. Belikova,
S. O. Zdasyuk,
M. Yu. Ladosha,
A. V. Sankovskiy https://doi.org/10.16931/1995-5464.2021-3-89-96
Abstract
Several clinical observations of rare complications of pancreatoduodenectomy in the early and long-term postoperative periods are presented. The authors tell about the bile leakage (severity C), arrosive bleeding, thrombosis of the liver vessels, as well as bowel obstruction from carcinomatosis. The possibilities of modern minimally invasive technologies are demonstrated: ante- and retrograde and endovascular methods in the treatment of these complications. Pancreatoduodenectomy should be performed in multidisciplinary medical centers with extensive experience and modern equipment that allows timely correction of postoperative complications.
About the Authors
M. Yu. Kabanov
St. Petersburg State Budgetary Healthcare Institution "Hospital for War Veterans"; Mechnikov North-Western State Medical University
Russian Federation
Russian Federation
Maksim Yu. Kabanov – Doct. of Sci. (Med.), Professor, Head of the St. Petersburg State Budgetary Healthcare Institution “Hospital for War Veterans”
21 bldg 2, Narodnaya str., Saint Petersburg, 193079
47, Piskarevsky Prospekt, Saint Petersburg, 195067
D. M. Yakovleva
St. Petersburg State Budgetary Healthcare Institution "Hospital for War Veterans"; Federal State Budgetary Military Educational Institution of Higher Education Kirov Military Medical Academy
Russian Federation
Russian Federation
Diana M. Yakovleva – Cand. of Sci. (Med.), Associate Professor, Head of the 21st Surgical Department of the St. Petersburg State Budgetary Healthcare Institution “Hospital for War Veterans”
21 bldg 2, Narodnaya str., Saint Petersburg, 193079
6ZH Akademika Lebedeva str., Saint Petersburg, 194044
K. V. Sementsov
St. Petersburg State Budgetary Healthcare Institution "Hospital for War Veterans"; Mechnikov North-Western State Medical University
Russian Federation
Russian Federation
Konstantin V. Sementsov – Doct. of Sci. (Med.), Associate Professor, Deputy Head of the Hospital for Surgery of the St. Petersburg State Budgetary Healthcare Institution “Hospital for War Veterans”
21 bldg 2, Narodnaya str., Saint Petersburg, 193079
47, Piskarevsky Prospekt, Saint Petersburg, 195067
D. B. Degtеrev
St. Petersburg State Budgetary Healthcare Institution "Hospital for War Veterans"
Russian Federation
Russian Federation
Denis B. Degtеrev – Cand. of Sci. (Med.), Head of the Endoscopy Department
21 bldg 2, Narodnaya str., Saint Petersburg, 193079
M. Ya. Belikova
St. Petersburg State Budgetary Healthcare Institution "Hospital for War Veterans"
Russian Federation
Russian Federation
Mariya Ya. Belikova – Cand. of Sci. (Med.), Head of the Radiology Department
21 bldg 2, Narodnaya str., Saint Petersburg, 193079
S. O. Zdasyuk
St. Petersburg State Budgetary Healthcare Institution "Hospital for War Veterans"
Russian Federation
Russian Federation
Sergey O. Zdasyuk – Surgeon of the 7th Surgery Department
21 bldg 2, Narodnaya str., Saint Petersburg, 193079
M. Yu. Ladosha
St. Petersburg State Budgetary Healthcare Institution "Hospital for War Veterans"
Russian Federation
Russian Federation
Maksim Yu. Ladosha – Surgeon of the 21th Surgery Department
21 bldg 2, Narodnaya str., Saint Petersburg, 193079
A. V. Sankovskiy
St. Petersburg State Budgetary Healthcare Institution "Hospital for War Veterans"
Russian Federation
Russian Federation
Anton V. Sankovskiy – Surgeon of the 21th Surgery Department
21 bldg 2, Narodnaya str., Saint Petersburg, 193079
References
1. Vetshev P.S., Bruslik S.V., Musayev G.Kh. Minimally invasive percutaneous technologies: formation, state, prospects. Bulletin of Pirogov National Medical and Surgical Center. 2015; 10 (1): 32–34. (In Russian)
2. Kubishkin V.A., Kriger A.G., Vishnevsky V.A., Gorin D.S., Lebedeva A.N., Zagagov S.O., Akhtanin E.A. The distal pancreatic stump extirpation on the reason of profuse arrosive intraabdominal bleeding. Pirogov Russian Journal of Surgery = Khirurgiya. Zhurnal im. N.I. Pirogova. 2012; 11: 4–7. (In Russian)
3. Perwaiz A., Singh A., Chaudhary A. Surgery for chronic pancreatitis. Indian J. Surg. 2012; 74: 47–54. https://doi.org/10.1007/s12262-011-0374-7
4. Buchler M.W., Wagner M., Schmied B.M., Uhl W., Friess H., Z'graggen K. Changes in morbidity after pancreatic resection: toward the end of completion pancreatectomy. Arch. Surg. 2003; 138 (12): 1310–1314. doi: 10.1001/archsurg.138.12.1310.
5. Paye F. The pancreatic stump after pancreatoduodenalactomy: The “Achille heel” revisited. J. Visc. Surg. 2010; 147 (1): e13–20. https://doi.org/10.1016/j.jviscsurg.2010.02.004
6. Maady A.S., Karpov O.E., Stoyko Yu.M., Vetshev P.S., Bruslik S.V., Levchuk A.L. Endoscopic biliary stenting for malignant obstructive jaundice. Annaly khirurgicheskoy gepatologii = Annals of HPB Surgery. 2015; 20 (3): 59–67. https://doi.org/10.16931/1995-5464.2015359-67 (In Russian)
7. Granov D.A., Timergalin I.V. Difficulties of diagnostics and choice of surgical approach in patients with ductal cholangiocarcinoma. Grekov's Bulletin of Surgery. 2017; 176 (1): 56–59. https://doi.org/10.24884/0042-4625-2017-176-1-56-59 (In Russian)
8. Kriger A.G., Gorin D.S., Goev A.A., Varava A.B., Berelavichus S.V., Akhtanin E.A. Post-pancreatectomy hemorrhage. Annaly khirurgicheskoy gepatologii = Annals of HPB Surgery. 2017; 22 (2): 36–44. https://doi.org/10.16931/1995-5464.2017236-44 (In Russian)
9. Sementsov K.V. Sovremennye tekhnologii v uluchshenii neposredstvennyh rezul'tatov pankreatoduodenal'noj rezekcii [Modern technologies to improve the immediate results of pancreatoduodenal resection: abstract dis. dr. med. sci.]. Saint Petersburg, 2020. 40 p. (In Russian)
10. Kabanov M.Yu., Semencov K.V., Yakovleva D.M., Alekseev V.V. Bleeding after pancreatoduodenal resection. Bulletin of Pirogov National Medical and Surgical Center. 2018; 13 (2): 138–140. (In Russian)
Review
For citations:
Kabanov M.Yu., Yakovleva D.M., Sementsov K.V., Degtеrev D.B., Belikova M.Ya., Zdasyuk S.O., Ladosha M.Yu., Sankovskiy A.V. Possibilities of applying minimally invasive technologies in the treatment of complications in patients after pancreatoduodenectomy. Annaly khirurgicheskoy gepatologii = Annals of HPB Surgery. 2021;26(3):89-96. (In Russ.) https://doi.org/10.16931/1995-5464.2021-3-89-96
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