Treatment Strategy for Pancreatic Cysts Depending on Their Origin, Activity of Inflammation and the Nature of Complications

V.M. Ratchik, N.V. Prolom, O.M. Babii, D.V. Orlovskyi, H.V. Tuzko


For 2011–2015 at the department of the surgery of the digestive system of the State Institution «Institute of Gastroenterology of National Academy of Medical Sciences of Ukraine», there were observed 472 patients with pathological changes in the pancreas. Surgical treatment was conducted in 87 patients with pancreatic cysts. Depending on the origin and maturity of cysts, state of the ductal system and activity of inflammation in the pancreatic parenchyma, surgeries were divided into four types: I — draining (performed in 52 (59.8 %) patients); II — cystectomy (4; 4.6 %); III — resection-draining (11; 12.6 %) and IV — resection (14; 16.1 %) operations. Indirect types of surgeries were performed in 6 (6.9 %) patients. Postoperative complications were detected in 16 (18.3 %) cases. Mortality was diagnosed in one case (1.2 %).


pancreas; pancreatic cysts; inflammation activity; surgical treatment; complications.


Kuprin A.A. Lechenie bolnikh s pcevdokistami podscheludochnoy schelezy. Diss. kand. med. nauk [Treatment of patients with pancreatic pseudocysts. Dr. med. sci. diss.]. Moscow, 2012. 34 p.

Nichitaylo M.E., Snopok U.V., Bulik I.I. Kisty i kistoznie opukholy podscheludochnoy schelezy [Cysts and cystic tumors of the pancreas]. Kiev, Poligrafkniga, 2012. 544 p.

Karyuxin I.V. Differencirovannoe lechenie kist podscheludochnoy schelezy pri khronicheskom pancreatite. Diss. kand. med. nauk [Differentiated approach to treatment of pancreatic cysts in chronic pancreatitis. Dr. med. sci. diss.]. Ryazan, 2014. 23 p.

Uzdenov M.B. Differencirovanny vibor metoda khirurgicheskogo lecheniya kist podscheludochnoy schelezy. Diss. kand. med. nauk [Differentiated choice of a method of surgical treatment of pancreatic cysts. Dr. med. sci. diss.]. Stavropol, 2010. 36 p.

Raschinsky S.M. et al. Analiz rezultatov khirurgicheskogo lecheniya boli u pacientov, stradauschikh khronicheskim pancreatitom [Analysis of the results of surgical treatment of pain in patients suffering from chronic pancreatitis]. Novosti khirurgii – News of surgery, 2012, V. 18, no. 1, pp. 21-29.

Kubishkin V.A. et al. Taktika khirurgicheskogo lecheniya bolnikh khronicheskim pankreatitom [Surgical treatment of patients with chronic pancreatitis]. Khirurgiya – Surgery, 2013, no. 1, pp. 17-23.

Kopchak V.M., Kopchak K.V., Khomyak I.V. et al. Khirurgicheskoe lechenie kistoznikh opukholei podscheludochnoy schelezy [Surgical treatment of cystic tumors of the pancreas]. Ukrainsky jurnal khirurgii – The Ukrain jornal of surgery, 2013, no. 3 (22), pp. 116-120.

Mukhin A.S., Otdelnov L.A., Simutis I.S., Kotova T.G. Komplexny podkhod k vedeniyu perioperacionnogo perioda u bolnikh s postnecroticheskimy kistamy podscheludochnoy schelezy [An integrated approach to the management of perioperative period in patients with pancreatic cysts postnecrotic]. Kursky nauchno-praktichesky vestnik “ Chelovek i ego zdorovie” – The Kursk science-practical of "Persons and his health", 2015, no. 2, pp. 43-48.

Achkasov E.E., Pugaev A.V., Kharin A.L. Punkcionniy metod v lechenii postnecroticheskikh kist podscheludochnoy schelezy [Puncture technique in the treatment of pancreatic cysts postnecrotic]. Khirurgiya – Surgery, 2007, no. 8, pp. 33-37.

Bentil F.E. Sovremenniy podkhod k lecheniyu psevdokist podscheludochnoy schelezy. Diss. kand. med. nauk [Modern approach to the treatment of pancreatic pseudocysts. Dr. med. sci. diss.]. Rostov na Donu, 2010. 23 p.

Copyright (c) 2016 GASTROENTEROLOGY

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.


© Publishing House Zaslavsky, 1997-2018


   Seo анализ сайта