title: [Basic principles of surgical policy in complicated chronic pancreatitis].
abstract: The paper presents some experience with surgical treatment of 183 patients with complicated forms of chronic pancreatitis. The type of a surgical intervention depended on the pattern of pancreatic morphological changes. Operations of internal drainage of the pancreas in 103 patients with ductal hypertension provide the largest percentage (92.4%) of good and satisfactory results. Resectional methods of surgical treatment for chronic pancreatitis (n = 36) without signs of intraductal hypertension and with the prevalence of predominant lesions in some portions of the gland yield 80% good and satisfactory results. The incidence of postoperative complications following pancreatic resections is higher than those after drainages (16.2 versus 11.6%). The paper gives a concept of combined operations on the pancreas and bile ducts in chronic pancreatitis complicated by stricture of the distal common bile duct, revealed in 24.4% of cases.
authors.affiliation: Scientific Center of Surgery RAMN, Moscow.
authors.forename: O G
authors.initials: OG
authors.lastname: Skipenko
authors.forename: O V
authors.initials: OV
authors.lastname: Voskresenskií
authors.forename: A A
authors.initials: AA
authors.lastname: Movchun
authors.forename: G A
authors.initials: GA
authors.lastname: Shatverian
mesh_terms: D002908:Chronic Disease; D006801:Humans; D015994:Incidence; D010195:Pancreatitis / Q000209:etiology / Q000601:surgery*; D011183:Postoperative Complications / Q000453:epidemiology; D012189:Retrospective Studies; D013514:Surgical Procedures, Operative / Q000009:adverse effects / Q000592:standards*