Surgical treatment of infected pancreatic pseudocysts

Abstract

Results of operative treatment 101 patients with infected pseudocysts of pancreas, distributed on types according to classification D'Egidio A. et Schein M., 1991, were analyzed. The patient with infected pseudocysts the first type at development organs insufficiency, percutaneous drainage it was carried out for the purpose of "waiting" tactics, for simplification of the general condition of the patient and a sepsis current. The patient with infected pseudocysts the second and third types in 80 % of cases percutaneous punctures were a definitive stage in their treatment. Performance of radical operative interventions depended on weight of a condition of patients, prevalence pancreonecrosis or a chronic pancreatitis, localization of pseudocysts, conditions duct systems, and also presence of complications from adjacent bodies. Thus, at treatment infected pseudocysts miniinvasive and traditional "open" interventions it is necessary to regard as complementary, with a wide range of diagnostic and medical possibilities.