[Direct transfistulous ultrasound in minimally invasive surgical treatment of infected pancreatic necrosis].

Q4 Medicine Khirurgiya Pub Date : 2024-01-01 DOI:10.17116/hirurgia202404138

S I Remizov, A V Andreev, V M Durleshter, S A Gabriel, O V Zasyadko

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引用次数: 0

Abstract

Objective: To develop a method for direct transfistulous ultrasound in minimally invasive treatment of infected pancreatic necrosis.

Material and methods: There were 148 patients with infected pancreatic necrosis between 2015 and 2019 at the Krasnodar City Clinical Hospital No. 2. Drainage with 28-32 Fr tubes was carried out at the first stage, endoscopic transfistulous sequestrectomy - at the second stage (19 (12.8%) patients). In 84 (56.8%) patients, we applied original diagnostic method (transfistulous ultrasonic assessment of inflammatory focus).

Results: There were 3 accesses to omental bursa in 93 (62.8%) patients and 2 in 43 (29.1%) patients. We also performed 2 access to retroperitoneal space in 63 (42.6%) patients and 1 access in 38 (25.8%) cases. Transfistulous ultrasound was used once in 19 (22.6%) patients, twice in 28 (33.3%) and 3 times in 37 (44.1%) patients. Examination was not performed in 18 (12.2%) patients due to the following reasons: migration of drainage catheters - 5, non-rectilinear fistulous tract - 13. No complications were observed.

Conclusion: Transfistulous ultrasound makes it possible to diagnose pathological changes in the pancreas and parapancreatic tissue at various stages of surgical treatment.

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[感染性胰腺坏死微创手术治疗中的直接输血超声]。

目的材料与方法：克拉斯诺达尔市第二临床医院2015年至2019年间共收治148例感染性胰腺坏死患者。在第一阶段使用 28-32 Fr 管进行引流，在第二阶段进行内镜下经瘘管切除术（19 例（12.8%）患者）。在 84 例（56.8%）患者中，我们采用了最初的诊断方法（经皮超声波评估炎症病灶）：结果：93 例（62.8%）患者中有 3 例进入网膜囊，43 例（29.1%）患者中有 2 例进入网膜囊。我们还对 63 例（42.6%）患者的腹膜后间隙进行了 2 次探查，对 38 例（25.8%）患者进行了 1 次探查。19例（22.6%）患者使用过一次输卵管超声检查，28例（33.3%）患者使用过两次，37例（44.1%）患者使用过三次。18例（12.2%）患者因以下原因未进行检查：引流导管移位--5例，非直角瘘管--13例。未发现并发症：结论：经瘘管超声检查可诊断手术治疗不同阶段胰腺和胰旁组织的病理变化。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Khirurgiya Medicine-Medicine (all)

CiteScore

0.70

自引率

0.00%

发文量

161

期刊介绍： Хирургия отдельных областей сердце, сосуды легкие пищевод молочная железа желудок и двенадцатиперстная кишка кишечник желчевыводящие пути печень