EXTERNAL TRANSORGANIC DRAINAGE OF POSTNECROTIC CYSTS OF PANCREAS 

Davydkin Vasiliy Ivanovich, Candidate of medical sciences, associate professor, head of sub-department of hospital surgery, Medical Institute, Ogarev Mordovia State University (68 Bolshevistskaya street, Saransk, Russia), mgu-hospital.surgery@yandex.ru
Golubev Aleksandr Grigor'evich, Candidate of medical sciences, associate professor, sub-department of hospital surgery, Medical Institute, Ogarev Mordovia State University (68 Bolshevistskaya street, Saransk, Russia), mgu-hospital.surgery@yandex.ru
Kazakov Ruslan Rafael'evich, Postgraduate student, Medical Institute, Ogarev Mordovia State University
(68 Bolshevistskaya street, Saransk, Russia), mgu-hospital.surgery@yandex.ru
Vilkov Aleksandr Vladimirovich, Candidate of medical sciences, associate professor, sub-department of hospital surgery, Medical Institute, Ogarev Mordovia State University
(68 Bolshevistskaya street, Saransk, Russia), mgu-hospital.surgery@yandex.ru
Miller Aleksey Alekseevich, Resident, sub-department of hospital surgery, Medical Institute, Ogarev Mordovia State University (68 Bolshevistskaya street, Saransk, Russia), mgu-hospital.surgery@yandex.ru
Malakhova Oksana Sergeevna, Resident, sub-department of hospital surgery, Medical Institute, Ogarev Mordovia State University (68 Bolshevistskaya street, Saransk, Russia), mgu-hospital.surgery@yandex.ru

616.37: 616–089.48

Background. The article aims at development and investigation of the transorganic (external-internal) draining method in cases of acute liquid formations in pan-creas and establishment of indications to implementation thereof.
Materials and methods. To carry out percutaneous punctures the authors used expert class ultrasonic scanners with prefixes for color Doppler mapping. Ultrasound control over the treatment efficiency was conducted on the 2nd and the 7th day.
Results. Percutaneous draining of pancreatic cysts was executed in 103 patients. Thus, 54 patients were operated after multiple surgeries apropose pancreatic necrosis. In 7 (13,0 %) patients the drainage through the duodenum was carried out in the basis of absolute indications (progressive increase of cysts and absence of the "sonographic window"; cyst infection, and compression of duodenum). Transduodenum intervensions led to absolute recovery in 3 cases, in 2 cases the relapse was marked, small size residual cavities were found in 2 cases, which didn’t invoke complaints from patients.
Conclusions. The authors recommend to perform transduodenal external-internal draining of pancreatic cysts under the ultrasound control in cases when the «sonographic window» is unavailable, in case of the compression syndrome, stagnation in stomach and duodenum, mechanical jaundice, and in case of suspecting the connection between the cyst cavity and the pancreatic duct.

pancreatitis, pancreatic necrosis, pancreatic pseudocyst, puncture, percutaneous drainage, abdominal adhesions.

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