अग्नाशयी विकार और चिकित्सा
खुला एक्सेस

अमूर्त

व्यापक विस्तारित दीवार वाले अग्नाशयी परिगलन के लिए पारंपरिक और ट्रांसगैस्ट्रिक नेक्रोसेक्टोमी का तुलनात्मक अध्ययन

Szentkereszty Zs, Krasnyánszky N, Kammili A, Balog K, Berhes M, Sápy P Gy

Purpose: Even though endoscopic necrosectomy for walled-off pancreatic necrosis is safe and effective, open surgery has an important role in cases with extended necrosis when the non-surgical approaches are not feasible. Authors compare their results of conventional and transgastric open necrosectomy.
Methods: A total of 29 patients were treated with extended walled-off pancreatic necrosis. Conventional open necrosectomy with closed bursal lavage was performed in group A (18 patients) and transgastric necrosectomy was performed in group B (11 patients). There were no significant differences between the two groups related to sex, age, etiology of pancreatitis, size of WOPN and time elapsed from the onset of disease and surgery.
Results: For all complications, the difference was significant between both groups (p=0.003). In group A, 13 reoperations were performed in 9 patients and none were required in group B. The difference between both groups was significant (p=0.01). The length of hospital stay was 23 ± 14.16 days in group A and 12 ± 2.2 days in group B. The difference was significant (p=0.001). The mortality in group A was higher than in group B (p=0.143), but it was not significant. The mean mortality rate was 13.8% in 29 patients.
Conclusion: In patients with extended walled-off pancreatic necrosis, the open transgastric necrosectomy has better results than conventional necrosectomy.