Minimally invasive surgery in the treatment of acute pancreatitis

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Abstract

Background. In recent years, the lethality from acute pancreatitis in Russia has not undergone significant changes and according to various data is from 15% to 25%.

Purpose. The evaluation of the performing minimally invasive interventions in the treatment of patients with moderate to severe acute pancreatitis.

Materials and methods. The authors retrospectively analyzed the medical records of 169 patients, the structure of mortality and complications depending on the choice of surgical intervention for the patients with acute pancreatitis of moderate and severe degree.

Results. Lethal outcomes in the group of patients using minimally invasive interventions amounted to 11.5%, in the group of patients using traditional operations — 37.5%, p < 0.05. Laparoscopic interventions were effective in 88.8% of the cases, and drug therapy had a positive effect in 81.2% of the cases, p > 0.05.

Conclusion. It is shown that the use of minimally invasive techniques in the treatment of pancreatic necrosis significantly reduces the levels of mortality, postoperative complications, which improves the overall results of acute pancreatitis treatment.

About the authors

Eldar E. Topuzov

North-Western State Medical University named after I.I. Mechnikov

Email: eltop@inbox.ru
ORCID iD: 0000-0002-1700-1128
Scopus Author ID: 6701351647
ResearcherId: O-9523-2015

Doctor of medical sciences, professor, head of the department hospital surgery V.A. Oppel

Russian Federation, 41, Kirochnaya street, Saint-Petersburg, 191015

Bella G. Tsatinyan

North-Western State Medical University named after I.I. Mechnikov

Author for correspondence.
Email: digkidhid7-7-1@yandex.ru
ORCID iD: 0000-0002-4871-2264
SPIN-code: 4253-7715

postgraduate of the department hospital surgery named after V.A. Oppel

Russian Federation, 41, Kirochnaya street, Saint-Petersburg, 191015

Eskender G. Topuzov

North-Western State Medical University named after I.I. Mechnikov

Email: egtopuzov38@mail.ru

Doctor of medical sciences, professor of the department of hospital surgery V.A. Oppel

Russian Federation, 41, Kirochnaya street, Saint-Petersburg, 191015

Vyacheslav K. Balashov

North-Western State Medical University named after I.I. Mechnikov

Email: vyacheslav-balashov@yandex.ru

Doctor of medical sciences, аssistant, oncologist of the department hospital surgery named after V.A. Oppel

Russian Federation, 41, Kirochnaya street, Saint-Petersburg, 191015

Esma A. Arshba

North-Western State Medical University named after I.I. Mechnikov

Email: esma.arshba@mail.ru

oncologist of the department hospital surgery named after V.A. Oppel

Russian Federation, 41, Kirochnaya street, Saint-Petersburg, 191015

Ammar Kh. Ali

North-Western State Medical University named after I.I. Mechnikov

Email: abuamra66@mail.ru

Candidate of medical sciences, аssistant, oncologist of the department hospital surgery named after V.A. Oppel  

Russian Federation, 41, Kirochnaya street, Saint-Petersburg, 191015

Gumamurad B. Ataev

North-Western State Medical University named after I.I. Mechnikov

Email: ataev@mail.ru

Candidate of medical sciences, аssistant, surgeon of the department hospital surgery named after V.A. Oppel 

Russian Federation, 41, Kirochnaya street, Saint-Petersburg, 191015

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Copyright (c) 2020 Topuzov E.E., Tsatinyan B.G., Topuzov E.G., Balashov V.K., Arshba E.A., Ali A.K., Ataev G.B.

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