A study on the pathological type and surgical therapy of chronic pancreatitis

VernacularTitle:慢性胰腺炎病变类型与手术方式的选择
Author: Fazhi ZHAO ; Siming XIE ; Yonghua CHEN ; Yunqiang CAI ; Xing WANG ; Nengwen KE ; Xubao LIU
Publication Type:Journal Article
Keywords: Pancreatitis,chronic; Surgical procedure,operative; Pathology,clinical
From: Chinese Journal of General Surgery 2015;30(1):7-10
CountryChina
Language:Chinese
Abstract: Objective To evaluate surgical therapies for chronic pancreatitis.Method The clinical data of 229 patients admitted for chronic pancreatitis during March 2009 to November 2013 in our hospital was retrospectively analyzed,different operation method and their clinical outcome were compared.Results Drainage operations or resection operations were made to all these 229 patients according to different types.57 patients underwent longitudinal pancreaticojejunostomy (LPJ procedure).118 patients received local resection of the head of pancreas combined with longitudinal pancreaticojejunostomy (Frey procedure in 105 cases,Berne procedure in 6 cases,Beger procedure in 7 cases).7 patients received pancreaticoduodenectomy,21 patients received distal pancreas resection,26 patients received other procedures.Post-operative pain relief rate was 89.3％,overall morbidity was 19.6％.Conclusions In cases of chronic pancreatitis,different surgical types are adopted according to their individual indications.Operation in accordance with pathological types guarantees clinical outcome.