Clinical models of necrotizing pancreatitis - the way for optimal choise of surgery

523 patients with necrotizing pancreatitis (2006-2013) were retrospectively analyzed. We compared results of the CT data, intraoperative locat-dock, the results of histological examination of biopsy material of 77 cases of necrotizing pacreatitis. Revealed their fair match. The main criteria (provid...

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Main Authors: A. V. Shabunin, A. Y. Lukin
Format: Article
Language:Russian
Published: Ministry of Healthcare of the Russian Federation. “Kuban State Medical University” 2014-10-01
Series:Кубанский научный медицинский вестник
Subjects:
Online Access:https://ksma.elpub.ru/jour/article/view/223
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spelling doaj-be6eae8c549444f7b418ba3e275e8d9a2021-07-28T13:13:59ZrusMinistry of Healthcare of the Russian Federation. “Kuban State Medical University”Кубанский научный медицинский вестник1608-62282541-95442014-10-01513814410.25207/1608-6228-2014-5-138-144223Clinical models of necrotizing pancreatitis - the way for optimal choise of surgeryA. V. Shabunin0A. Y. Lukin1Городская клиническая больница им. С.П. БоткинаГородская клиническая больница им. С.П. Боткина523 patients with necrotizing pancreatitis (2006-2013) were retrospectively analyzed. We compared results of the CT data, intraoperative locat-dock, the results of histological examination of biopsy material of 77 cases of necrotizing pacreatitis. Revealed their fair match. The main criteria (providing the ability to model) characterizing pancreatic necrosis were volume and localization of pancreatic necrosis, the prevalence of extrapancreatic disease process. To improve the results of treatment patients with necrotizing pacreatitis. Four clinical and morphological models of pancreatic necrosis were created: «Model-1» - 191 patients, «Model-2» - 159, «Model-3» - 95, «Model-4» - 78. Depending on the results of modeling used various methods of treatment of percutaneus drainage (PCD), open surgery (OS) and combined step-up approach. Specific complications in cases managed with PCD (n=117) - 8 (6,8%), OS (n=58) - 16 (27,5%); Combined step-up approach - 200 (17,5%) of all (n = 375) - 59 (15,7%). The greatest number of complications observed in cases with «Model 3» and «Model-4». Mortality: «Model-1» - 3 (6,9%), «Model-2» - 23 (14,4%), «Model-3» - 21 (22,1%), «Model-4» - 22 (28,2%) of (n=523) - 69 (18,4%). Clinical management of patients with necrotizing pancreatitis is defined by the location and extent of pathological changes in retroperitoneum, depending on the amount, location of pancreatic necrosis. Modeling of pancreatic and peripancreatic necrosis allows in selection of the optimal method of surgery and reduce the incidence of complications, morbidity and mortality.https://ksma.elpub.ru/jour/article/view/223панкреонекрозкомпьютерная томографиякритерии определения модели панкреонекроза и парапанкреатитахирургическое лечениеnecrotizing pancreatitiscomputed tomographymodeling criteriasurgery
collection DOAJ
language Russian
format Article
sources DOAJ
author A. V. Shabunin
A. Y. Lukin
spellingShingle A. V. Shabunin
A. Y. Lukin
Clinical models of necrotizing pancreatitis - the way for optimal choise of surgery
Кубанский научный медицинский вестник
панкреонекроз
компьютерная томография
критерии определения модели панкреонекроза и парапанкреатита
хирургическое лечение
necrotizing pancreatitis
computed tomography
modeling criteria
surgery
author_facet A. V. Shabunin
A. Y. Lukin
author_sort A. V. Shabunin
title Clinical models of necrotizing pancreatitis - the way for optimal choise of surgery
title_short Clinical models of necrotizing pancreatitis - the way for optimal choise of surgery
title_full Clinical models of necrotizing pancreatitis - the way for optimal choise of surgery
title_fullStr Clinical models of necrotizing pancreatitis - the way for optimal choise of surgery
title_full_unstemmed Clinical models of necrotizing pancreatitis - the way for optimal choise of surgery
title_sort clinical models of necrotizing pancreatitis - the way for optimal choise of surgery
publisher Ministry of Healthcare of the Russian Federation. “Kuban State Medical University”
series Кубанский научный медицинский вестник
issn 1608-6228
2541-9544
publishDate 2014-10-01
description 523 patients with necrotizing pancreatitis (2006-2013) were retrospectively analyzed. We compared results of the CT data, intraoperative locat-dock, the results of histological examination of biopsy material of 77 cases of necrotizing pacreatitis. Revealed their fair match. The main criteria (providing the ability to model) characterizing pancreatic necrosis were volume and localization of pancreatic necrosis, the prevalence of extrapancreatic disease process. To improve the results of treatment patients with necrotizing pacreatitis. Four clinical and morphological models of pancreatic necrosis were created: «Model-1» - 191 patients, «Model-2» - 159, «Model-3» - 95, «Model-4» - 78. Depending on the results of modeling used various methods of treatment of percutaneus drainage (PCD), open surgery (OS) and combined step-up approach. Specific complications in cases managed with PCD (n=117) - 8 (6,8%), OS (n=58) - 16 (27,5%); Combined step-up approach - 200 (17,5%) of all (n = 375) - 59 (15,7%). The greatest number of complications observed in cases with «Model 3» and «Model-4». Mortality: «Model-1» - 3 (6,9%), «Model-2» - 23 (14,4%), «Model-3» - 21 (22,1%), «Model-4» - 22 (28,2%) of (n=523) - 69 (18,4%). Clinical management of patients with necrotizing pancreatitis is defined by the location and extent of pathological changes in retroperitoneum, depending on the amount, location of pancreatic necrosis. Modeling of pancreatic and peripancreatic necrosis allows in selection of the optimal method of surgery and reduce the incidence of complications, morbidity and mortality.
topic панкреонекроз
компьютерная томография
критерии определения модели панкреонекроза и парапанкреатита
хирургическое лечение
necrotizing pancreatitis
computed tomography
modeling criteria
surgery
url https://ksma.elpub.ru/jour/article/view/223
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