[Drainage or resecting surgery in chronic pancreatitis?]

An analysis was done of treatment of 333 patients with complicated forms of chronic pancreatitis (ChP) who had undergone interventions in the pancreas over the period 1996-2001. The draining operations having been performed in the above patients came up to 91.3 percent of the total number of operations while resecting type surgery was 8.7 percent. Efficiency was analyzed of making use of draining operations in different forms of ChP. The authors suggest a number of novel draining operations aimed at preservation of the function of the pancreas and organs of the pancreatoduodenal zone, which fact is found out to qualitatively change results of surgical treatment in the patients under consideration. Resecting operations are performed more frequently in fibrous changes in the pancreas, with the adjacent organs being involved in the pathological process. Indications are determined for performing resecting operations in ChP.