SURGICAL TREATMENT TACTICS FOR PATIENTS WITH ACUTE PANCREATITIS

Abstract

The article contains information about the tactics of surgical treatment of patients with acute pancreatitis of medium and severe severity of the disease. The relevance of the topic is dictated by the high frequency of the disease, a significant proportion of unsatisfactory treatment results, as well as the fact that generally accepted tactics for surgical treatment of patients with acute pancreatitis currently does not exist. The article presents the data that the most perspective tactics of multistage surgical treatment is. At development of infectious complications such approach allows to reduce lethality, in comparison with patients who have undergone open interventions. The first stage of surgical treatment of acute pancreatitis at development of acute liquid accumulations in the second week of the disease is more often carried out a little invasive interventions to reduce accumulation of toxic substances and to prevent polyorganic insufficiency. The first stage of surgical treatment can also be laparoscopic surgery, which is diagnostic in order to differentiate the disease and determine the severity of acute pancreatitis. The second stage of surgical treatment in the development of infectious complications may also be a minimally invasive surgery. At the second stage of the surgical treatment large size drainages are put in order to wash and clean the abdominal cavity from the aggregations formed there. The third stage of surgical treatment of acute pancreatitis is the open access operation, the task of this operation is necksrevestrectomy. Exactly such tactics of surgical treatment of acute pancreatitis of medium and heavy degree of severity is the most perspective as lethality of the given tactics is minimal and development of infectious complications occurred less often.