RESULTS OF SURGICAL TREATMENT FOR PANCREATIC GLAND CYSTS

Keywords: pancreatic gland cyst, operative treatment, internal drainage, panceatocystogastrostomy, pancreatocystojejunostomy
Abstarct: Objective – to analyze the results of surgical treatment for pancreatic gland cysts (PGC). Material and methods. 39 patients with pancreatic gland cysts were treated in Alexandro-Mariinsk hospital in Astrakhan city from 2011 to 2020. The results of surgical treatment were evaluated at once and in a year after the operation. Results and discussion. External cyst drainage were performed for 20 patients, 7 of them undergone residual cavity obliteration by own developed method with application of 10% nogopovidon-yod. Internal cyst drainage were performed for 19 patients, among them pancreacystogastrostomy – for 5, pancreatocystojejunostomy – for 9, transgastric drainage – for 2, laparoscopic cystectomy – for 2, open hydatidectomy – for 1. Various complications were observed in 6 patients including 3 cases of cyst recidivation. Conclusions. Open drainage with application of optimal method of residual cavity obliteration is recommended in complicated and giant PGC. Internal drainage interventions are preferable in true cysts. Cystectomy is recommended in small cysts. The analysis demonstrated that the drainage operations were safe.

BULLETIN
of the Ivanovo Medical Academy^{ISSN 1606-8157}