Literature Reviews
doi: 10.25005/2074-0581-2019-21-2-314-320
SURGICAL METHODS AND POSTOPERATIVE COMPLICATIONS IN SEVERE ACUTE PANCREATITIS

D.S. Salimov1, A.R. Dostev1, S.G. Ali-Zade2, A.R. Umari1, A.M. Karimov1

1Department of General Surgery № 1, Avicenna Tajik State Medical University, Dushanbe, Republic of Tajikistan
2Department of Surgical Diseases № 1, Avicenna Tajik State Medical University, Dushanbe, Republic of Tajikistan

The review article highlights the modern classification of acute pancreatitis, indications for the surgical treatment of severe, first of all, infected pancreonecrosis, development and the contentious issues of this problem. As you know, all surgical interventions in pancreonecrosis are divided into two types: radical and organ-preserving. This article examines the results of both methods with an analysis of the frequency of postoperative complications after each. In addition, two different methods of operations, «closed» and «open» – were evaluated to drain extraperitoneal space, taking into account the area of the necrotic process. Described the prospect of using Embryonal Natural Orifice Transluminal Endoscopic Surgery (ENOTES) in the treatment of severe acute pancreatitis, complicated by abdominal compartment syndrome. The frequency of intraoperative and early complications of «closed» and «open» interventions in severe acute pancreatitis, their recognition, prevention, and the choice is considered a method of surgical or conservative treatment.

Keywords: Acute pancreatitis, surgical treatment, complications of acute pancreatitis, pancreonecrosis.

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Authors' information:

Salimov Dzhamshed Saidakhmadovich
, Candidate of Medical Sciences, Associate Professor, Department of General Surgery № 1, Avicenna Tajik State Medical University ORCID ID: 0000-0001-6396-2600

Dostiev Ashur Radzhabovich
, Doctor of Medical Sciences, Professor, Department of General Surgery № 1, Avicenna Tajik State Medical University ORCID ID: 0000-0002-8350-0179

Ali-Zade Sukhrob Gaffarovich
, Candidate of Medical Sciences, Assistant, Department of Surgical Diseases № 1, Avicenna Tajik State Medical University ORCID ID: 0000-0002-2456-7509, Researcher: B-6807-2019

Umari Ali Rakhmon
, Candidate of Medical Sciences, Assistant, Department of General Surgery № 1, Avicenna Tajik State Medical University ORCID ID: 0000-0003-3563-8170

Karimov Alidzhon Madzhidovich
, Candidate of Medical Sciences, Assistant, Department of General Surgery № 1, Avicenna Tajik State Medical University ORCID ID: 0000-0002-6226-7988

Conflicts of interest: No conflict

Address for correspondence:

Ali-Zade Sukhrob Gaffarovich
Candidate of Medical Sciences, Assistant, Department of Surgical Diseases № 1, Avicenna Tajik State Medical University

734003, Republic of Tajikistan, Dushanbe, Rudaki Ave., 139

Tel.: +992 (928) 217755

E-mail: suhrob_a@mail.ru

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