[Minimally invasive technologies in diagnosis and treatment of local purulent complications of destructive pancreatitis].
Sixty patients with local purulent complications of destructive pancreatitis were treated. Interventional procedures under visual control were performed in 38 patients: in 26 (68.4%) -- under control of computed tomography and in 12 (31.6%) -- ultrasound-assisted procedures. Traditional surgeries were performed in 22 patients. Complete recovery was seen in 23 (60,6%) of 38 patients of the first group, all these patients have solitary, one-chamber and non-sequestered purulent cavities which are formed in 82.6% cases due to microfocal pancreonecrosis. Transcutaneous drainage was ineffective in 14 (36.8%) patients that required conversion to laparotomy. It is demonstrated that treatment policy in purulent-necrotic complication of pancreonecrosis must be individual. Adequate method of local treatment must be determined by size and localization of purulent and necrotic lesions, presence of sequesters and septa.
Korotkov
I I
II
Kukushkin
A V
AV
Metelev
A S
AS
D000328:Adult; D003131:Combined Modality Therapy; D004382:Duodenitis / Q000188:drug therapy / Q000209:etiology; D005260:Female; D006801:Humans; D007813:Laparotomy / Q000379:methods; D008297:Male; D019060:Minimally Invasive Surgical Procedures / Q000379:methods*; D010192:Pancreatic Pseudocyst / Q000209:etiology / Q000601:surgery; D019283:Pancreatitis, Acute Necrotizing / Q000150:complications* / Q000000981:diagnostic imaging / Q000628:therapy*; D015436:Panniculitis, Peritoneal / Q000188:drug therapy / Q000209:etiology / Q000601:surgery; D014057:Tomography, X-Ray Computed