Kulik I. Optimization of surgical treatment of chronic recurrent pancreatitis using minimally invasive interventions.

Thesis is devoted to developing a comprehensive individualized treatment strategy in patients with chronic recurrent pancreatitis by using minimally invasive endoscopic interventions. The results of examination and surgical treatment of 75 patients undergoing treatment for chronic relapsing pancreatitis, in the offices of the "Іnstitutu zagalnoї that nevіdkladnoї hіrurgії V.T. Zaitseva of NAMS of Ukraine" and Kharkiv city hospital emergency medical care behalf prof. Meschaninova. The main group (42 patients) consisted of patients who were applied endoscopic methods of treatment. The comparison group included 33 patients who underwent surgical treatment of the traditional ways. In our study involved patients with chronic recurrent pancreatitis after undergoing surgery - cholecystectomy about cholelithiasis 33 (78,6%). All patients of the main group about revealed pathology performed transpapilyarni endoscopic intervention. A total of 113 interventions in 42 patients. Used the following range of endoscopic transpapilyarnih interventions in patients with chronic recurrent pancreatitis: biliary and pancreatic papillosphincterotomy extraction of stones, balloon dilation and probing pancreatic duct strictures, nazobiliarnoe, tsistonazalne nazopankreaticheskoe and drainage, biliary and pancreatic stenting plastic and metal stents samorozshiryuschimisya. Open surgery was performed in 33 patients: pancreatoduodenal resection, resection of the pancreatic head, trailing панкреатікоентероанастомоз, панкреатікоентероанастомоз on Shalimov, pankreatikoeyunostomiya, tsistoeyunostomiya. A statistically significant difference level of complications associated with operation performed in the main 2,3% in the comparison group and 30,3% reduction in the overall level of postoperative complications after endoscopic interventions in patients with complicated chronic relapsing pancreatitis. Level of postoperative mortality in the main and the comparison group was 2,3 % and 6,1 % of patients, respectively.