The surgical treatment of acute pancreatitis in a patients of senior years group
The retrospective and prospektive analysis of treatment of 89 patients with acute pancreatitis (AP) of declining and senile years was conducted. The research work was held on the basis of surgical department in Ivano-Frankivsk regional clinical hospital in the period from 2005 to 2012 yy. Among the experimental group there were 53 (59,5%) men, 36 (40,4%) woman, the middle age of patients was – 69+1,3 years. At the prehospital stage the diagnostic mistakes took place in 26 (29,2%) patients. 69 (77,5%) patients were hospitalized in the late terms of the disease. Intersticial AP had 33 (37%) patients, local necrosis of pancreas – 27 (30,3%) patients, total and subtotal pankreonekrosis was diagnosed in 29 (32,5%) patients. Aseptic character of AP is set in 34 (58,6%) from 58 patients, infected AP – in 26 (43%) patients, acute liquid formations of Willis's pouch and retroperitoneal space is traced in 10 (19,6%) patients.The results of surgical treatment of acute pancreatitis werere analyzed for the patients of declining and senile years. Advantages of small invasive methods of treatment are marked. In case of small invasive surgeries the death rate made 15,6%, and in case of standard abdominal surgeries the lethality made 32%.