Surgical treatment of patients with paraduodenal (groove) pancreatitis

Abstract

Treatment of patients with chronic pancreatitis (CP) remains the most difficult task of pancreatology. Paraduodenal inflammation was evaluated in case of patients’ detailed instrumental examination and intraoperatively obtained tissues – it gave the possibility to diagnose paraduodenal – “groove” - pancreatitis. Material and methods. The experience of surgical treatment of 71 patients with CP for the last 7 years has been analyzed. 27 patients with inflammatory and necrotic lesions of the pancreatic periampular part – “groove” pancreatitis were retrospectively selected out of them. Their anamnesis, clinical status, operative interventions and postoperative period are analyzed. Results. 24 out of 27 patients with "groove" pancreatitis underwent surgical treatment. Pancreatoduodenal resections were performed in 12 patients. Organosaving operations were performed in 10 cases. Palliative surgery was performed in 2 patients. The indications for operative interventions were formulated and were given characteristics of the postoperative period. Discussion. According to the expressed pain syndrome in such patients, the authors recommend to perform pancreatoduodenal resection based on indications. Conclusion. Correct surgical tactics in case of patients’ treatment with a rare form of CP complication - "groove" of pancreatitis - allows to eliminate pain syndrome and contribute to their recovery.