{"title":"PERFORMANCE OF TOTAL PANCREATECTOMY \nFOR PANCREATIC MALIGNANCIES.","authors":"A I Dronov, S V Zemskov, E A Kryuchina","doi":"","DOIUrl":null,"url":null,"abstract":"<p><p>Lethality, morbidity, survival indices and metabolic consequences of total pancreatec'\ntomy (TP), performed in patients, suffering pancreatic tumors, were analyzed. There\nwere retrospectively analyzed 35 TP оperations, including 5— urgent, 30 — elective,\nperformed in a single center. General lethality have constituted 20% (7 patients died),\nand after elective ТP — 6.7% (2 died). Complications rate after elective TP have consti'\ntuted 40%; survival mediana—18 mo; indices of a 3—year survival — 40%, and a 5—\nyear one — 13.3%. Most frequently revealed metabolic changes after ТP — pancreatic\nexocrine insufficiency, pancreatogenic diabetes, changes in a lipid metabolism in\nhepatocytes. Our experience witnesses expediency of ТP introduction into surgical\npractice in specialized centers of Ukraine with results, which are matching a worldwide.</p>","PeriodicalId":32618,"journal":{"name":"Klinichna khirurgiia","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2016-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Klinichna khirurgiia","FirstCategoryId":"1085","ListUrlMain":"","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
Abstract
Lethality, morbidity, survival indices and metabolic consequences of total pancreatec'
tomy (TP), performed in patients, suffering pancreatic tumors, were analyzed. There
were retrospectively analyzed 35 TP оperations, including 5— urgent, 30 — elective,
performed in a single center. General lethality have constituted 20% (7 patients died),
and after elective ТP — 6.7% (2 died). Complications rate after elective TP have consti'
tuted 40%; survival mediana—18 mo; indices of a 3—year survival — 40%, and a 5—
year one — 13.3%. Most frequently revealed metabolic changes after ТP — pancreatic
exocrine insufficiency, pancreatogenic diabetes, changes in a lipid metabolism in
hepatocytes. Our experience witnesses expediency of ТP introduction into surgical
practice in specialized centers of Ukraine with results, which are matching a worldwide.
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