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https://doi.org/10.14300/mnnc.2022.17062

The surgical tactics and the reasons of unsatisfactory results of pancreas resections in chronic pancreatitis

[Original research] [Surgery]
Vladimir Grigoryevich Lubyansky; Vasily Vladimirovich Seroshtanov; Igor Vladimirovich Arguchinsky; Andrey Gennadievich Pozhidanov;

In recent years, pancreatic resections have been widely used in the treatment of complicated forms of chronic pancreatitis. In the long term, patients are referred for pain in the epigastric region. We have set a goal: to determine the tactics of treatment based on the established causes of unsatisfactory outcomes of Frey’s operation. The analysis of the surgical treatment outcomes in 168 patients with chronic pancreatitis was carried out. First of all, the most common causes were failure of pancreatoenteroanastomosis and pancreatic fistulas (10.7 %). There were 5 deaths (2.9 % of patients). The long-term results of surgical treatment of 95 patients with chronic pancreatitis were studied. The subject of our analysis was: stenosis of pancreatoenteroanastomosis, proliferation of fibrous tissue in the tail of the pancreas, pancreatic cancer. Fifteen people were re-operated. In order to prevent stenosis of pancreatoenteroanastomosis, it makes sense to perform it with a continuous single-row atraumatic suture, and seal the anastomosis with adhesive fibrin composite.

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Keywords: chronic pancreatitis, pancreatointestinal anastomosis, failure of the pancreaticintestinal anastomosis, fibrin glue