Improved tactics of patient treatment with destructive forms of acute pancreatitis

Niyazov Anarbek Kulnazarovich, Beyshenaliev Alymkadyr Sabirdinovich, Osmonbekova Nurai Sarypbekovna, Niyazov Adilet Anarbekovich

the paper presents the results of treatment of 167 (100%) patients with destructive forms of acute pancreatitis, of these 119 (71.3%) were treated in a conservative manner, 48 (28.7%) patients underwent surgery according to an improved method. Patients underwent treatment according to the developed method of conservative and improved methods of surgical treatment based on the choice of the optimal solution. The basis of the method is the longitudinal decapsulation of the pancreas, low-impact, mini-laparotomy, full visual control, one-time sanation and drainage of the stuffing box and abdominal cavity. The best results of conservative and surgical treatment were achieved. Negative impact on the course of the disease had concomitant diseases. In the immediate postoperative period, complications occurred in 13 (7.8%) patients. The average bed-day was 10.8 ± 0.4. Death was in 5 cases. There was also a sterile pancreatic necrosis - 10 cases where, treated by a conservative way, got good results.

Keywords:diagnosis, complications, minimally invasive, destructive forms, pancreatonecrosis, improved quality of life.