grekovВестник хирургии имени И.И. ГрековаGrekov's Bulletin of Surgery0042-46252686-7370Federal State Budgetary Educational Institution of Higher Education «Academician I.P. Pavlov First St. Petersburg State Medical University» of the Ministry of Healthcare of the Russion Federation, FSBEI HE I.P.Pavlov SPbSMU MOH Russia10.24884/0042-4625-2014-173-5-36-43grekov-576Research ArticleВОПРОСЫ ОБЩЕЙ НЕОТЛОЖНОЙ ХИРУРГИИPROBLEMS OF GENERAL AND SPECIAL SURGERYВЫБОР МЕТОДА ХИРУРГИЧЕКОГО ЛЕЧЕНИЯ ХРОНИЧЕСКОГО ПАНКРЕАТИТАCHOICE OF THE METHOD OF SURGICAL TREATMENT OF CHRONIC PANCREATITISВоробейАлександр ВладимировичVorobeiA. V.varabeiproct@tut.byШулейкоАнатолий ЧеславовичShuleikoA. Ch.dept-surg@hotmail.comОрловскийЮрий НиколаевичOrlovskiyYu. N.noemail@neicon.ruВижинисЕжи ИонасVizhinisYu. I.noemail@neicon.ruБутраЮрий ВикторовичButraYu. V.orl_doc@hotmail.comЛагодичНаталья АнатольевнаLagodichN. A.lagodich@open.byБелорусская медицинская академия последипломного образования; Республиканский центр реконструктивной хирургической гастроэнтерологии, колопроктологии и лазерной хирургииРоссияByelorussian Medical Academy of Post-Graduate EducationRussian FederationРеспубликанский центр реконструктивной хирургической гастроэнтерологии, колопроктологии и лазерной хирургии; Минская областная клиническая больницаРоссияByelorussian Medical Academy of Post-Graduate EducationRussian Federation20141501201817353643Copyright © Воробей А.В., Шулейко А.Ч., Орловский Ю.Н., Вижинис Е.И., Бутра Ю.В., Лагодич Н.А., 20182018Воробей А.В., Шулейко А.Ч., Орловский Ю.Н., Вижинис Е.И., Бутра Ю.В., Лагодич Н.А.Vorobei A.V., Shuleiko A.C., Orlovskiy Y.N., Vizhinis Y.I., Butra Y.V., Lagodich N.A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.vestnik-grekova.ru/jour/article/view/576

An analysis of surgical treatment of 187 patients with chronic pancreatitis was made during 3-year period in the department of surgery clinic of Byelorussian Medical Academy of Post-Graduate Education. Drainage operations were performed on 28 patients, resection-drainage operations were carried out on 130 patients and resection operations had 19 patients. The laser beam technologies were successfully applied during operations on the pancreas in 43 patients. Postoperative complications (14,8%) were analyzed and structured. Methods of corrections and ways of prophylaxis of complication development were provided. On the basis of the complication analysis and new conception concerning peripheral pancreatic hypertension the authors offered the rational approaches to choice of operations on the pancreas in case of chronic pancreatitis. The authors developed the classification of pancreatoductolitiasis, pancreatic hypertension and a new strategy of surgical management of chronic pancreatitis.

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The authors declare that there are no conflicts of interest present.