Surgical treatment and complications of operations in acute pancreatitis severe
https://doi.org/10.17709/2409-2231-2018-5-4-7
Abstract
In this reviewing article there are discussed such topics as modern classification of acute pancreatitis, indications for surgical treatment of severe and, first of all, infected pancreatic necrosis, modern tendencies in this problem and controversial issues of it. The analysis of two different methods of surgeries («closed» and «open») for drainage of retroperitoneal space depending on the scale of necrotic lesion has been carried out. The perspective use of the natural transluminal endoscopic surgery (ENOTES) in the treatment of acute pancreatitis, complicated by abdominal compartment syndrome, is shown. The frequency of intraoperative and early complications after «closed» and «open» surgical interventions for severe acute pancreatitis has been reviewed; also recognition of the complications, the prevention of their occurrence and the choice of surgical or conservative methods of treating the complications.
About the Authors
I. A. Kaprin
Sechenov First Moscow State Medical University (Sechenov University)
Russian Federation
Competing Interests:
Russian Federation
Ivan A. Kaprin - post-graduate student of the Department of surgery of the Institute of vocational education Sechenov University, assistant of the Department of urology with courses of oncology, radiology and andrology, FCME of Medical Institute “Peoples’ friendship University of Russia”, oncologist of FSBO «Central clinical hospital with polyclinic» Of the presidential administration of the RF.
8/2 Trubetskaya str., Moscow 1 19991
Competing Interests:
No conflict of interest
Z. E. Eldarova
Sechenov First Moscow State Medical University (Sechenov University)
Russian Federation
Competing Interests:
Russian Federation
Zaira E. Eldarova - post-graduate student of the Department of surgery of the Institute of vocational education.
8/2 Trubetskaya str., Moscow 1 19991
Competing Interests:
No conflict of interest
V. P. Glabai
Sechenov First Moscow State Medical University (Sechenov University)
Russian Federation
Competing Interests:
Russian Federation
Vladimir P. Glabai - MD, PhD, DSc, Professor, head of the Department of surgery of the Institute of vocational education.
8/2 Trubetskaya str., Moscow 1 19991
Competing Interests:
No conflict of interest
References
1. Connor S, Alexakis N, Raraty MG, Ghaneh P, Evans J, Hughes M, et al. Early and late complications after pancreatic necro-sectomy. Surgery. 2005 May;137 (5):499-505. DOI: 10.1016/j.surg.2005.01.003
2. Bradley EL. III. A fifteen year experience with open drainage for pancreatic necrosis. Surg Gynecol Obstet. 1993 Sep;177 (3):215—22.
3. Gotzinger P, Saunter T, Kriwanek S, Beckerhinn P, Barlan M, Armbruster C, et al. Surgical treatment for severe acute pancreatitis: extent and surgical control of necrosis determines outcome. World J Surg. 2002 Apr;26 (4):474-8. DOI: 10.1007/s00268-001-0252-8
4. Beger H, Isenmann R. Surgical management of necrotising pancreatitis. Surg Clin North Am. 1999 Aug;79 (4):783-800, ix.
5. Savel'ev VS, Filimonov MI, Gel'fand BR, Burnevich SZ. Destruk-tivnyi pankreatit. Standarty diagnostiki i lecheniya. Annaly khiru-rgicheskoy gepatologii (Annals of Surgical Hepatology). 2001;6 (2) :115-22. (In Russian).
6. Nesterenko YuA, Lishchenko AN, Mikhailusov SV. Gnoi-no-nekroticheskie oslozhneniya ostrogo pankreatita (rukovod-stvo dlya vrachei i prepodavatelei) [Purulent-necrotic complications of acute pancreatitis]. Moscow, 1998, 127 p. (In Russian).
7. Bradley EL III, Allen K. A prospective longitudinal study of observation versus surgical intervention in the management of necrotizing pancreatitis. Am J Surg. 1991 Jan;161 (1):19-24; discussion 24-5.
8. Butkevich ATs, Chadaev AP, Lapin AYu, Sviridov SV. Otkrytye dreniruyushchie operatsii v khirurgicheskom lechenii raspros-tranennogo infitsirovannogo pankreonekroza [Open drainage operations in the surgical treatment of common infected pancreonecrosis]. Moscow: «Granitsa» Publ.; 2007, 392 p. (In Russian).
9. Zhu HM, Guo SQ, Liao XM, Zhang L, Cai L. Embryonic natural orifice transluminal endoscopic surgery in the treatment of severe acute pancreatitis complicated by abdominal compartment syndrome. World J Emerg Med. 2015;6 (1):23-8. DOI: 10.5847/wjem. j.1920-8642.2015.01.004
10. Connor S, Ghaneh P, Raraty M, Rosso E, Hartley MN, Garvey C, et al. Increasing age and APACHE II scores are the main determinants of outcome following pancreatic necrosectomy. Br J Surg. 2003 Dec;90 (12):1542-8. DOI: 10.1002/bjs.4341
11. Fielding G, McLatchie GR, Wilson C, Imrie CW, Carter DC. Acute pancreatitis and pancreatic fistula formation. Br J Surg. 1989 Nov;76 (11):1126-8.
12. Beger HG, Rau B, Isenmann R. Necrosectomy or anatomically guided resection acute pancreatitis. Chirurg. 2000 Mar;71 (3) :274-80.
13. Singh C, Lobo D, Jindal A, Marwaha RK, Khanna SK. Splenic arterial hemorrhage in pancreatitis: report of three cases. Surg Today. 1994;24 (8):752-5.
14. Yamaguchi K, Chijiwa K, Shimizu S, Yokohata K, Morisaki T, Tanaka M. Comparison of endoscopic retrograde and magnetic resonance cholangiography in the surgical diagnosis of pancreatic diseases. Am J Surg. 1998 Mar;175 (3):203-8.
15. Uhl W, Warshaw A, Imrie C, Bassi C, McKay CJ, Lank-isch PG, et al. IAP Guidelanes for the surgical management of acute pancreatitis. Pancreatology. 2002;2 (6):565-73. DOI: 10.1159/000071269
16. Burnevich SZ, Ignatenko YuN, Kirsanov KV. Prognosis and outcomes of surgical treatment in patients with pancreonecrosis in the light of current views of the thanatogenesis of the disease (communication 1). Annals of Surgery. 2004;3:30-2. (In Russian).
17. Guo Q, Wang MJ, Hu WM, Zhang ZD. Early complications after interventions in patients with acute pancreatitis. World J Gastroenterol. 2016 Mar 7;22 (9):2828-36. doi: 10.3748/wjg.v22.i9.2828.
18. Singh C, Lobo DR, Jindal A, Marwaha RK, Khanna SK. Splenic arterial hemorrhage in pancreatitis: report of three cases. Surg Today. 1994;24 (8):752-5.
19. Grishin I. N., Grits V. N., Lagodich S. N. Kisty, svishchi podzheludochnoi zhelezy i ikh oslozhneniya [Cysts, pancreatic fistulas and their complications]. Minsk: «Vysheishaya shkola» Publ.; 2009, 275 p. (In Russian).
20. Danilov MV, Glabai VP, Makarova VI, Kustov AE. Repeated operations in patients with acute necrotic pancreatitis. Proceedings of the IX all-Russian Congress of surgeons. Volgograd, 20-22 Sep 2000 r. Volgograd, 2000, pp. 35-36. (In Russian).
21. Ivanov SV, Okhotnikov OI, Bondarev GA, et al. Surgical management of pancreatic necrosis. Proceedings of the IX all-Russian Congress of surgeons. Volgograd, 20-22 Sep 2000 r. Volgograd, 2000, pp. 51-52. (In Russian).
22. Krasil'nikov DM, Mavrin MI, Minnegaliev MM, Salimzyanov ShS. Results of surgical treatment of patients with pancreatic necrosis and its complications. Proceedings of the IX all-Russian Congress of surgeons. Volgograd, 20-22 Sep 2000 r. Volgograd, 2000, pp. 55-56. (In Russian).
23. Glabai V, Danilov M, Temirsultanov R, Makarova V. Treatment of pancreanecrosis operations complications. Dig Surg. 1999, pp. 27-28.
24. Kummerle F, Neher M. Management of complications after operations for acute pancreatitis. World J Surg. 1981 May;5 (3):387-92.
25. Vantsyan EN. Naruzhnye i vnutrennie svishchi v khirurgich-eskoi klinike [External and internal fistulas in the surgical clinic]. Moscow: «Meditsina» Publ.; 1990, 221 p. (In Russian).
26. Vinogradov VV. Opukholi i kisty podzheludochnoi zhelezy [Tumors and cysts of the pancreas]. Moscow: «Medgiz» Publ.; 1959, 220 p. (In Russian).
27. Sequens R. A technique for treatment of extensive defects of the abdominal wall with gastrointestinal fistulae. Rozhl Chir. 1999 Feb;78 (2):92-3.
28. Brzhozovskii AG. Chastnaya khirurgiya [Particular surgery]. Moscow: «Medgiz» Publ.; 1950; 727 p. (In Russian).
29. Andreev SD, Adamyan AA, Usenov DA. Khirurgicheskoe lech-enie posleoperatsionnykh gryzh v usloviyakh infitsirovaniya. Khirurgiya. 1991;5:82-86. (In Russian).
30. Gataullin NG, Kornilaev PG, Plechev VV. Khirurgicheskoe lechenie posleoperatsionnykh gryzh zhivota. Klinicheskaya khirurgi-ya. 1990;2:1-4. (In Russian).
31. Regnard JF, Hay JM, Rea S, Fingerhut A, Flamant Y, Mail-lard JN. Ventral incisional hernias: incidence, date of recurrence, localization and risk factors. Ital J Surg Sci. 1988;18 (3):259-65.
32. Lukomskii GI, Shulutko AM, Antropova NV. Perspektivy raz-vitiya abdominoplastiki sinteticheskimi protezami. Khirurgiya. 1994;5:53-54. (In Russian).
Review
For citations:
Kaprin I.A., Eldarova Z.E., Glabai V.P. Surgical treatment and complications of operations in acute pancreatitis severe. Research and Practical Medicine Journal. 2018;5(4):72-81. (In Russ.) https://doi.org/10.17709/2409-2231-2018-5-4-7
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