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Long-term results of treatment and quality of life in patients undergone surgery for acute severe pancreatitis

[Surgery]
Evgeny Aleksandrovich Tseymakh; Vladislav Arkadevich Bombizo; Pavel Nikolaevich Buldakov; Anna Alekseevna Averkina; Dmitry Nikolaevich Ustinov; Andrey Viktorovich Udovichenko; Sergey Ivanovich Maletin; Oleg Valerievich Akimochkin;

The purpose of the study was to assess the long-term results of treatment and the quality of life in patients undergone surgery for acute severe pancreatitis, depending on the type of surgical intervention used. The results of treatment were studied in 64 patients hospitalized in 2011–2016. Most of the patients were men (53.1 %), 59.4 % had infected pancreatonecrosis. The quality of life of patients in the surgical treatment of which minimally invasive interventions were included (GIQLI 106.18±2.98 points) was higher than in patients after open surgery (GIQLI 96.87±3.18 points). After the staged surgical tactics, including minimally invasive interventions, there were 3.6 times fewer patients recognized as disabled. In the same group of patients, recurrence of acute pancreatitis occurred 3.2 times less often. Postoperative hernias (87.1 %) were more common in patients after open surgery (87.1%) than in patients after minimally invasive interventions (24.3 %) (p<0.001). Pancreatic and digestive fistulas were 6.5 times more often in patients undergoing traditional interventions. Thus, the quality of life and the long term results of treatment of patients operated on for severe acute pancreatitis were better in the group of minimally invasive interventions.

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Keywords: acute pancreatitis, pancreatic necrosis, surgical treatment, minimally invasive surgery, quality of life, longterm results


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