[Method of pancreatoduodenal resection and intraoperative prevention of acute pancreatitis].
In the period from 1988 to 1991 the authors carried out 27 pancreatoduodenal resections with 11.1% mortality. From analysis of the results they formulated the main technical principles of this operation and suggested a complex of intraoperative measures for prevention of acute postoperative pancreatitis. The complex included application of a 5-fluorouracil-containing covering of the pancreas at the stage of exposure of the complex which will be removed; individualization of the methods for treatment of the pancreatic stump depending on the diameter of the pancreatic duct; the use of prolene in forming the pancreaticoenteroanastomosis; intraoperative administration of cephalosporins and dioxidine followed by antibacterial therapy; application of microsphere with cytostatics to the pancreas at the operation end for prolongation of pancreatic secretion suppression.
Buianov
V M
VM
Egiev
V N
VN
Rudakova
M N
MN
Rusanov
V P
VP
D000208:Acute Disease; D000890:Anti-Infective Agents / Q000008:administration & dosage; D000964:Antimetabolites, Antineoplastic / Q000008:administration & dosage; D002511:Cephalosporins / Q000008:administration & dosage; D005472:Fluorouracil / Q000008:administration & dosage; D006801:Humans; D016577:Pancreaticoduodenectomy / Q000379:methods*; D010195:Pancreatitis / Q000517:prevention & control*; D011126:Polypropylenes / Q000008:administration & dosage; D011183:Postoperative Complications / Q000517:prevention & control*; D011810:Quinoxalines / Q000008:administration & dosage
D000890:Anti-Infective Agents; D000964:Antimetabolites, Antineoplastic; D002511:Cephalosporins; D011126:Polypropylenes; D011810:Quinoxalines; C001077:dioxidine; D005472:Fluorouracil
Tekhnika pankreatoduodenal'noĭ rezektsii i intraoperatsionnoĭ profilaktiki ostrogo pankreatita.