Effect of the acute postoperative pancreatitis at the postoperative period in the abdominal surgery

• Published in: Saratovskiĭ nauchno-medit͡s︡inskiĭ zhurnal Vol. 9; no. 4; pp. 957 - 962
• Main Authors: Kotenko К.V., Voskanyan S.Е., Korsakov I.N., Naydenov E.V.
• Format: Journal Article
• Language: Russian
• Published: Saratov State Medical University 01.12.2013
• Subjects: acute postoperative pancreatitis; morbidity; mortality; satellite complications
• ISSN: 2076-2518

The study aims the influence of development of the acute postoperative pancreatitis at the early postoperative period; determine its influence at the frequency and spectrum of complications after abdominal surgery. Material and methods. The work is based on the results of the complex examination and surgical treatment of 1934 patients with various disorders of the digestive system (complicated duodenal ulcer and gastric ulcer, gastric cancer, the proximal and distal pancreatic cancer, colon cancer and postgastrectomy syndromes). The dependence of the overall incidence of postoperative complications, the number of complications per patient, and the number of infectious and inflammatory complications per patient, hospital mortality and length of postoperative hospital days for the development of acute postoperative pancreatitis were studied. Results. Acute postoperative pancreatitis is a leading cause of morbidity postoperative intra-abdominal operations. 97,8% of the cases of complicated early postoperative period of the operations on the organs of the abdominal cavity caused by the development of acute postoperative pancreatitis. Specific complications for the acute postoperative pancreatitis (satellite complications) were identified. Satellite complication had a clearly defined correlation with the development of the acute postoperative pancreatitis. The negative effect of acute postoperative pancreatitis on the severity of the postoperative period, on the morbidity, on the number of complications per patient, on the number of the infectious and inflammatory complications per patient, hospital mortality and on the duration of the postoperative hospital stay were found.