DUODENUM-PRESERVING RESECTION OF HEAD OF PANCREAS IN PATIENTS WITH CHRONIC PANCREATITIS
The article is devoted to the surgical treatment of chronic pancreatitis. The results of surgical treatment of 56 patients with chronic pseudotumorous pancreatitis have been analyzed. There were 50 men and 6 women aged from 39 to 65. Diagnostics was based on the study of anamnesis, clinical and laboratory data, oncomarkers (CA-19), ultrasound, CT, MRI and ERCP. According to preoperative examination morphological changes were detected in all patients: increased head of the pancreas ≥4 cm in 56 patients, increased main pancreatic duct in 38, pancreatic parenchyma in 42, multiple changes in 44 patients, 12 patients showed only one pathology. Classical Beger procedure was performed in 4 patients, its Berne modification in 12 patients, Frey operation – 38 patients.2 patients underwent standard pancreatoduodenal resection. The mean operative time was 138 min (126 – 318); intraoperative bloodloss 500 ml (100 – 1500 ml). Complications were observed in 9 patients. Reoperation was necessary in 3 cases. Only one patient died.