title: [Surgical treatment of chronic pancreatitis. Indications and early results].
abstract: A report is given on 28 resections on patients with chronic pancreatitis with a high frequency of severe destructive lesions in the head of the pancreas. Pseudocysts, single, multiple or extrapancreatic were present in almost 50%. Strictures of the Ductus Wirsungianus were found in 24 cases and 50% had multiple pancreatic stones. In these cases 12 partial and 9 total duodenopancreatectomies and 7 distal resections were performed. All patients with distal resections survived. Only one patient died in the group with partial and total duodenopancreatectomy, which accounts for a postoperative letality of 4.8%. Postoperative there were 4 reoccurrences of pancreatitis, due to further alcohol abusus, 1 patient died from alcohol intoxication. Patients with total seemed to do better than with partial pancreatectomy at a survey 18 months after operation.
mesh_terms: D000437:Alcoholism / Q000150:complications; D002908:Chronic Disease; D004386:Duodenum / Q000601:surgery; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D010180:Pancreatectomy / Q000379:methods; D010181:Pancreatic Cyst / Q000150:complications; D010195:Pancreatitis / Q000209:etiology / Q000601:surgery*; D011183:Postoperative Complications / Q000401:mortality
vernacular_title: Operative Behandlung der chronischen Pankreatitis. Indikationen und Frühergebnisse