OPTIMIZATION OF SURGICAL TREATMENT OF PATIENTS WITH ACUTE PANCREATITIS USING MINIINVASIVE TECHNIQUES

Abstract. The aim of the study. To improve the results of surgical treatment of patients with acute pancreatitis using minimal invasive techniques. Matherials and Methods of the study. The results of surgical treatment of 75 patients with different forms of acute pancreatitis were analyzed. All patients were examined and operated on. Results of the study. Minimally invasive interventions were performed in 92% of the analyzed patients. Intraoperatively acute pancreatic edema was observed in 43% of patients, hemorrhagic pancreatic necrosis – in 24%, infected pancreatic necrosis – in 33%. The postoperative period was complicated by 13.3%, the mortality rate was 9.3%. Conclusions. The use of minimally invasive techniques for treating acute pancreatitis can significantly improve the results of surgical treatment of patients with this pathology. The frequency of complications and lethality decreases. Also, it is possible to significantly reduce operational trauma, and hence the number of bed-days of stay in hospital treatment. This contributes to reducing the financial cost of treatment in patients with acute pancreatitis, as well as improving the quality of life of this category of patients.

OPTIMIZATION OF SURGICAL TREATMENT OF PATIENTS WITH ACUTE PANCREATITIS USING MINIINVASIVE TECHNIQUES

Kharkiv Surgical School ◽

10.37699/2308-7005.3.2020.03 ◽

2020 ◽

pp. 16-18

Author(s):

A. G. Drozdova

Keyword(s):

Acute Pancreatitis ◽

Surgical Treatment ◽

Minimally Invasive ◽

Pancreatic Necrosis ◽

Minimal Invasive ◽

Hospital Treatment ◽

Bed Days ◽

Summary. The aim of the study. To improve the results of surgical treatment of patients with acute pancreatitis using minimal invasive techniques. Matherials and Methods of the study. The results of surgical treatment of 75 patients with different forms of acute pancreatitis were analyzed. All patients were examined and operated on. Results of the study. Minimally invasive interventions were performed in 92 % of the analyzed patients. Intraoperatively acute pancreatic edema was observed in 43 % of patients, hemorrhagic pancreatic necrosis – in 24 %, infected pancreatic necrosis – in 33 %. The postoperative period was complicated by 13.3 %, the mortality rate was 9.3 %. Conclusions. The use of minimally invasive techniques for treating acute pancreatitis can significantly improve the results of surgical treatment of patients with this pathology. The frequency of complications and lethality decreases. Also, it is possible to significantly reduce operational trauma, and hence the number of bed-days of stay in hospital treatment. This contributes to reducing the financial cost of treatment in patients with acute pancreatitis, as well as improving the quality of life of this category of patients.

Minimally invasive techniques in the treatment of severe acute pancreatitis

Open Medicine ◽

10.2478/s11536-013-0283-1 ◽

2014 ◽

Vol 9 (4) ◽

pp. 580-587 ◽

Cited By ~ 1

Author(s):

Ignasi Poves ◽

Fernando Burdío ◽

Dimitri Dorcaratto ◽

Luis Grande

Keyword(s):

Acute Pancreatitis ◽

Surgical Treatment ◽

Minimally Invasive ◽

Severe Acute Pancreatitis ◽

Pancreatic Necrosis ◽

High Rate ◽

Multidisciplinary Teams ◽

Laparoscopic Transperitoneal ◽

Open Necrosectomy ◽

AbstractOpen necrosectomy, the standard surgical treatment of infected pancreatic necrosis (IPN), presents a high rate of postoperative complications and an associated mortality of 20–60%. In the last decade various minimally invasive approaches (MIA) have been proposed for the treatment of IPN and the results seem to improve on those reported with open necrosectomy. These MIA include: percutaneous, retroperitoneal, endoscopic (endoluminal) and laparoscopic (transperitoneal). The adoption of the step-up approach in the management of severe acute pancreatitis (SAP) facilitates the implementation of MIA as the surgical treatment of choice in most cases. Since MIA require the expertise of radiologists, endoscopists and surgeons, patients suffering SAP should be treated by multidisciplinary teams in referral centers. We describe the MIA currently available and discuss their advantages, disadvantages, and results.

Intramedullary Nailing of Intertrochanteric Fractures - Minimal Invasive Techniques for Reduction

10.21203/rs.3.rs-729483/v1 ◽

2021 ◽

Author(s):

Xuzhou Duan ◽

Dake Tong ◽

Hao Zhang ◽

Fang Ji

Keyword(s):

Closed Reduction ◽

Intertrochanteric Fracture ◽

External Rotation ◽

Minimal Invasive ◽

Intertrochanteric Fractures ◽

Good Reduction ◽

Anatomical Reduction ◽

Abstract Background: An intramedullary nail has become the implant of choice for intertrochanteric fractures. This paper introduced some minimal invasive techniques were used to improve quality of intertrochanteric fracture reduction. Methods: Of 119 intertrochanteric fractures treated from January 2014 to October 2019. All patients who received internal fixation on traction bed, and who could not achieve satisfactory closed reduction through the process of "external rotation, abduction, traction, adduction and internal rotation". Reductions were classified as good, acceptable, or poor. We had acceptable reduction in 83 cases and poor reduction in 37 cases though closed reduction. The displacement was reduced using some minimal invasive techniques. Results: After performing the relative techniques in these cases, no case had a poor result. 112(94.9%) cases were in a good reduction. Anatomical reduction should always be achieved in intertrochanteric fractures. Conclusion: The minimal invasive techniques could help the surgeon achieve satisfactory reduction in intertrochanteric fractures. This work had the potential to improve the cognition of reduction of intertrochanteric fractures for surgeons, especially beginners and juniors.

Long-Term Results and Quality of Life of Patients Undergoing Sequential Surgical Treatment for Severe Acute Pancreatitis Complicated by Infected Pancreatic Necrosis

Surgical Infections ◽

10.1089/sur.2006.7.s2-113 ◽

2006 ◽

Vol 7 (supplement 2) ◽

pp. s-113-s-116 ◽

Cited By ~ 18

Author(s):

Lorenza Cinquepalmi ◽

Luigi Boni ◽

Gianlorenzo Dionigi ◽

Francesca Rovera ◽

Mario Diurni ◽

...

Keyword(s):

Quality Of Life ◽

Acute Pancreatitis ◽

Surgical Treatment ◽

Severe Acute Pancreatitis ◽

Pancreatic Necrosis ◽

Infected Pancreatic Necrosis ◽

Long Term Results

Minimally invasive surgery in the treatment of acute pancreatitis

HERALD of North-Western State Medical University named after I I Mechnikov ◽

10.17816/mechnikov201911475-80 ◽

2020 ◽

Vol 11 (4) ◽

pp. 75-80

Author(s):

Eldar E. Topuzov ◽

Bella G. Tsatinyan ◽

Eskender G. Topuzov ◽

Vyacheslav K. Balashov ◽

Esma A. Arshba ◽

...

Keyword(s):

Acute Pancreatitis ◽

Minimally Invasive Surgery ◽

Minimally Invasive ◽

Medical Records ◽

Pancreatic Necrosis ◽

Surgical Intervention ◽

Minimally Invasive Techniques ◽

Severe Degree ◽

Invasive Techniques ◽

Positive Effect

Background. In recent years, the lethality from acute pancreatitis in Russia has not undergone significant changes and according to various data is from 15% to 25%. Purpose. The evaluation of the performing minimally invasive interventions in the treatment of patients with moderate to severe acute pancreatitis. Materials and methods. The authors retrospectively analyzed the medical records of 169 patients, the structure of mortality and complications depending on the choice of surgical intervention for the patients with acute pancreatitis of moderate and severe degree. Results. Lethal outcomes in the group of patients using minimally invasive interventions amounted to 11.5%, in the group of patients using traditional operations 37.5%, p 0.05. Laparoscopic interventions were effective in 88.8% of the cases, and drug therapy had a positive effect in 81.2% of the cases, p 0.05. Conclusion. It is shown that the use of minimally invasive techniques in the treatment of pancreatic necrosis significantly reduces the levels of mortality, postoperative complications, which improves the overall results of acute pancreatitis treatment.

DIAGNOSTIC LAPAROSCOPY: Utility and solving diagnostic dilemmas

JMS SKIMS ◽

10.33883/jms.v21i2.368 ◽

2019 ◽

Vol 21 (2) ◽

pp. 70-71

Author(s):

Ajaz A Malik

Keyword(s):

Laparoscopic Surgery ◽

Minimally Invasive ◽

Open Surgery ◽

Diagnostic Laparoscopy ◽

Minimal Invasive ◽

Invasive Technique ◽

Basic Procedure ◽

Almost All ◽

Diagnostic laparoscopy is the basic procedure in laparoscopic surgery that has wide utility in practice, thus avoiding morbidity associated with open surgery. Laparoscopy is a minimally invasive technique wherein a fibre optic instrument is inserted through the abdominal wall to view the organs in abdomen/pelvis and permit the diagnosis and necessary surgical procedure. Nowadays, almost all general surgical procedures can be performed using minimal invasive techniques. Laparoscopy can be performed both for diagnostic as well as for therapeutic purposes. JMS 2018: 21 (2):70-71

MINIMALLY INVASIVE SURGERY IN THE COMPLEX TREATMENT OF ACUTE PANCREATITIS

EMERGENCY MEDICAL CARE ◽

10.24884/2072-6716-2019-20-1-46-52 ◽

2019 ◽

Vol 20 (1) ◽

pp. 46-52

Author(s):

E. E. Topuzov ◽

V. K. Balashov ◽

E. G. Topuzov ◽

B. G. Tsatinyan

Keyword(s):

Acute Pancreatitis ◽

Minimally Invasive Surgery ◽

Minimally Invasive ◽

Pancreatic Necrosis ◽

Medical Documentation ◽

Minimally Invasive Techniques ◽

Complex Treatment ◽

Medicinal Treatment ◽

Invasive Techniques ◽

Minimally Invasive Methods

For the purpose of justification for the use of various minimally invasive interventions in the treatment of patients with moderate to severe acute pancreatitis, the authors retrospectively analyzed the data of medical documentation for the period from 2009 to 2017, shows the results of surgical and medicinal treatment, the structure of mortality and complications depending on the choice of surgical manual for patients with acute pancreatitis. The possibilities of minimally invasive methods of surgical treatment in comparison with traditional operations are presented. It is shown that the use of minimally invasive techniques in the treatment of pancreatic necrosis significantly reduces the level of mortality associated with complications of infected pancreatonecrosis, and also reduces the level of postoperative complications.

Paradigmaváltás a csontmetasztázisok sebészetében. I. Végtagi és medencelokalizációjú áttétek

Orvosi Hetilap ◽

10.1556/650.2017.30859 ◽

2017 ◽

Vol 158 (40) ◽

pp. 1563-1569

Author(s):

Miklós Szendrői ◽

János Kiss ◽

Tamás Perlaky ◽

Imre Antal ◽

Krisztián Szalay ◽

...

Keyword(s):

Pathological Fracture ◽

Minimal Invasive ◽

Curative Surgery ◽

First Choice ◽

Choice Of Treatment ◽

Invasive Techniques ◽

Tumor Registries ◽

Fracture Surgery

Abstract: According to the statistical data of tumor registries the incidence of cancer has increased in the last decade, however the mortality shows only a slight change due to the new and effective multimodal treatments. The aim of our overview article is to present the changes in the survival of the metastatic patients, and to demonstrate which factors influence their prognosis. The improvement of survival resulted in a more active surgical role both in metastases of the bone of the extremities and the pelvis. We present a diagnostic flow chart and current options for the reconstruction of the different regions of the bone and skeleton, and we will discuss their potential advantages, disadvantages and complications. It is evident that apart from the impending and pathological fracture surgery it is not the first choice of treatment but rather a palliative measure. The aim of surgery is to alleviate pain, to regain mobility and improve quality of life. If possible minimal invasive techniques are performed, as they are less demanding and allow fast rehabilitation for the patient, and they are solutions that last for a lifetime. In optimal conditions radical curative surgery can be performed in about 10 to 15 per cent of the cases, and better survival is encouraging. Orv Hetil. 2017; 158(40): 1563–1569.

HSV encephalitis after successful minimally invasive debridement for infected pancreatic necrosis: A case of rare central nervous system complication

European Journal of Inflammation ◽

10.1177/20587392211000571 ◽

2021 ◽

Vol 19 ◽

pp. 205873922110005

Author(s):

Bei Lu ◽

Yang Cai ◽

Junjie Yin ◽

Jingrui Wang ◽

Zhong Jia ◽

...

Keyword(s):

Central Nervous System ◽

Acute Pancreatitis ◽

Nervous System ◽

Herpes Simplex ◽

Minimally Invasive ◽

Pancreatic Necrosis ◽

Infected Pancreatic Necrosis ◽

Percutaneous Catheter Drainage ◽

Central Nervous System Complication ◽

Simplex Virus

Patients with acute pancreatitis (AP) often suffer tough complications, some of which are fatal. The early diagnosis and definite treatment of central nervous system (CNS) complications have not been fully achieved yet, which seriously affects the mortality of severe acute pancreatitis (SAP). We present a case of infected pancreatic necrosis (IPN) in a 62-year Chinese man who developed acute herpes simplex encephalitis (HSE) caused by herpes simplex virus type 1 (HSV-1) after favorable minimally invasive retroperitoneal approaches (MIRAs). The patient was successfully treated with 115 days stayed in our hospital. The MIRAs included image-guided retroperitoneal percutaneous catheter drainage (PCD), nephroscopic pancreatic necrosectomy (NPN), and ultrasonic pneumatic lithotripsy system (UPLS) assisted non-narcotic sinus track necrosectomy (NSN). HSE is relatively rare and potentially life threatening. We attempt to discuss the probable risk factors and how the relatively rare HSE are related to the patients of SAP with latent HSV.

Pancreatic window and open necrosectomy; a surgical alternative for walled-off pancreatic necrosis in a second level hospital in Mexico

International Journal of Research in Medical Sciences ◽

10.18203/2320-6012.ijrms20204446 ◽

2020 ◽

Vol 8 (11) ◽

pp. 4158

Author(s):

Pedro A. Alvarado-Bahena ◽

Enrique Chavez-Serna ◽

Jonatan Salgado-Vives ◽

Uraik F. Hernandez-Bustos ◽

Dante A. Saldivar-Vera ◽

...

Keyword(s):

Developing Countries ◽

Acute Pancreatitis ◽

Minimally Invasive ◽

Pancreatic Necrosis ◽

Late Complication ◽

Late Complications ◽

Open Approach ◽

Invasive Procedures ◽

Open Necrosectomy ◽

Level Hospital

Walled-off pancreatic necrosis is defined as a necrotic collection with a defined wall, which generally occurs in 15% of patients in the fourth week after acute pancreatitis. Actually, open surgery is reserved for selected cases, with minimally invasive treatments such as image-assisted percutaneous drainage or endoscopic ultrasound being the procedures of choice. However, in developing countries the open approach continues to be an effective therapeutic alternative. We present the case of a 47-year-old male patient with no significant history who developed severe acute pancreatitis secondary to hypertriglyceridemia and who later developed walled-off pancreatic necrosis as a late complication. As a treatment, a debridement of the necrotic tissue with marsupialization was performed using the bradley III technique, secondary to the procedure, a pancreatic fistula was developed. After 8 weeks of hospitalization, in which he had a favourable response to surgical treatment, with spontaneous closure of the fistula without complications. Surgical management of late complications of acute pancreatitis remains controversial. Although minimally invasive procedures are the first option nowadays, in developing countries, open necrosectomy remains a good option for the treatment of these types of complications.