Complications of the «open» surgeries for severe acute pancreatitis

Glabay V.P.; Cridnev O.V.; Arkharov A.V.; Bykov A.N.; Kaprin I.A.; Muslimov B.G.

doi:https://doi.org/10.17116/hirurgia20171072-76

Glabay V.P.

Chair of Surgery of Sechenov First Moscow State Medical University of Healthcare Ministry of the Russian Federation, Moscow, Russia, City Clinical Hospital No. 3, Moscow, Russia

Cridnev O.V.

Chair of Surgery of Sechenov First Moscow State Medical University of Healthcare Ministry of the Russian Federation, Moscow, Russia, City Clinical Hospital No. 3, Moscow, Russia

Arkharov A.V.

Chair of Surgery of Sechenov First Moscow State Medical University of Healthcare Ministry of the Russian Federation, Moscow, Russia, City Clinical Hospital No. 3, Moscow, Russia

Bykov A.N.

Chair of Surgery of Sechenov First Moscow State Medical University of Healthcare Ministry of the Russian Federation, Moscow, Russia, City Clinical Hospital No. 3, Moscow, Russia

Kaprin I.A.

Chair of Surgery of Sechenov First Moscow State Medical University of Healthcare Ministry of the Russian Federation, Moscow, Russia, City Clinical Hospital No. 3, Moscow, Russia

Muslimov B.G.

Chair of Surgery of Sechenov First Moscow State Medical University of Healthcare Ministry of the Russian Federation, Moscow, Russia, City Clinical Hospital No. 3, Moscow, Russia

Complications of the «open» surgeries for severe acute pancreatitis

Authors:

Glabay V.P., Cridnev O.V., Arkharov A.V., Bykov A.N., Kaprin I.A., Muslimov B.G.

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Journal: Pirogov Russian Journal of Surgery. 2017;(10): 72‑76

DOI: 10.17116/hirurgia20171072-76

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To cite this article:

Glabay VP, Cridnev OV, Arkharov AV, Bykov AN, Kaprin IA, Muslimov BG. Complications of the «open» surgeries for severe acute pancreatitis. Pirogov Russian Journal of Surgery. 2017;(10):72‑76. (In Russ.)
https://doi.org/10.17116/hirurgia20171072-76

Подписка 2026 Хирургия. Журнал им. Н.И. Пирогова (Pirogov Russian Journal of Surgery)

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Abstract:

Introduction. With the unsuccessfulness of an intensive therapy and minimally invasive interventions in severe acute pancreatitis they resort to the «open» surgical interventions. It is important to know about the classification of complications of such surgeries, the frequency of occurrences, the recognition peculiarities and the determination of a treatment plan for the practical surgery. Aim. The optimization of the usage of «open» surgeries for patients with severe acute pancreatitis. Material and methods. An «open» surgery has been performed on 322 patients for 25 years, 102 (31.6%) of them had different complications, 35 (34%) of them died. The intraoperative, early and «seamed» complications have been allocated. The rational treatment concepts of the complications of «open» surgeries, which are special for their diversity and paired with tactical and technical difficulties, have been developed. Conclusion. The main reasons for the development of complications of «open» surgeries for severe acute pancreatitis are the destruction of the wall of the main pancreatic duct, parapancreatitis, the intervention of a hollow organ or a vessel of trunk in a purulent lesion. As a rule, mentioned changes appear due to the long-team course of severe acute pancreatitis.

Keywords:

severe acute pancreatitis

complications of «open» surgeries

treatment concepts of complications of «open» surgeries

Authors:

Glabay V.P.

Chair of Surgery of Sechenov First Moscow State Medical University of Healthcare Ministry of the Russian Federation, Moscow, Russia, City Clinical Hospital No. 3, Moscow, Russia

Cridnev O.V.

Chair of Surgery of Sechenov First Moscow State Medical University of Healthcare Ministry of the Russian Federation, Moscow, Russia, City Clinical Hospital No. 3, Moscow, Russia

Arkharov A.V.

Chair of Surgery of Sechenov First Moscow State Medical University of Healthcare Ministry of the Russian Federation, Moscow, Russia, City Clinical Hospital No. 3, Moscow, Russia

Bykov A.N.

Chair of Surgery of Sechenov First Moscow State Medical University of Healthcare Ministry of the Russian Federation, Moscow, Russia, City Clinical Hospital No. 3, Moscow, Russia

Kaprin I.A.

Chair of Surgery of Sechenov First Moscow State Medical University of Healthcare Ministry of the Russian Federation, Moscow, Russia, City Clinical Hospital No. 3, Moscow, Russia

Muslimov B.G.

Chair of Surgery of Sechenov First Moscow State Medical University of Healthcare Ministry of the Russian Federation, Moscow, Russia, City Clinical Hospital No. 3, Moscow, Russia

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References:

Grishin IN, Lagodich VN, Grits SN. Cysts, pancreatic fistulas and their complications. Minsk Higher School. 2015. (In Russ.)
Ai-Lin Wei, Qiang Guo, Ming-Jun Wang, Wei-Ming Hu, Zhao-Da Zhang. Early complications after interventions in patients with acute pancreatitis. World J Gastroenterol. 2016;22:2828-2836.
Banks PA, Boilen ThL, Dervenis Ch, Gooszen HG, Johnson CD, Sarr MG, Tsiotos GG, Vege SS. Acute Pancreatitis Classifications Working Group. Classification of acute pancreatitis — 2012 revision of Atlanta classification and definitions by international consensus. Gut. 2013;62:102-111.
Baron TH, Thaggard WG, Morgan DE, Stanley RJ. Endoscopic therapy for organized pancreatic necrosis. Gastroenterology. 1996;111:755-764.
Beger H, Isenmann R. Surgical management of necrotising pancreatitis. Surg Clin North Am. 1999;79:783-800.
Benjamin PT. Loveday, Anubhav Mittal, Anthony Philips, John A.Windsor. Minimally Invasive Management of Pancreatic Abscess, Pseudocyst, and : A Systematic Review of Current Guidelines. World J Surg. 2008;32:2383-2394.
Bradley EL. III. A clinically based classification system for acute pancreatitis. Arch Surg. 1993;128:586-590.
Carter R, McKay C, Imrie C. Percutaneous necrosectomy and sinus tract endoscopy in management of infected pancreatic necrosis: an initial experience. Ann Surg. 2001;232:175-180.
Connor S, Alexakis N, Raraty MG, et al. Early and late complications after pancreatic necrosectomy. Surgery. 2005;137:5:499-505.
Freeny PC, Hauptmann E, Althaus SJ, et al. Percutaneous CT-guided catheter drainage of infected acute necrotizing pancreatitis: techniques and results. AJR Am J Roentgenol. 1998;170:969-975.
Gooszen HG. Surgery in acute pancreatitis: open versus minimal invasive. Thesis of International conference of surgeons. Kaunas, Lithuania. 2007.
Nicolas KK. King Ajith K. Siriwardena. European Survey of Surgical Strategies for the Management of Severe Acute Pancreatitis. Am J Gastroenterol. 2004;99:719-728.
Rau B, Pralle U, Uhl W, et al. Management of sterile necrosis in instances of severe acute pancreatitis. J Am Coll Surg. 1995;181:279-288.
Uhl W, Warshaw A, Imrie C, et al. IAP Guidelanes for the surgical management of acute pancreatitis. Pancreatology. 2002;2:565-573.