| Title |
Comparitive evaluation of surgical treatment methods and quality of life in chronic pancreatitis / |
| Translation of Title |
Lėtinio pankreatito chirurginio gydymo būdų ir gyvenimo kokybės lyginamasis vertinimas. |
| Authors |
Jurevičius, Saulius |
| Full Text |
|
| Pages |
36 |
| Keywords [eng] |
pancreatic resection ; chronic pancreatitis ; surgical treatment of the pancreas ; quality of life |
| Abstract [eng] |
The duodenum-preserving pancreatic resection according to Frey is a standard operation for patients with complicated chronic pancreatitis. The pancreatojejunostomy is usually performed using two layer suture. The aim of doctoral dissertation was to compare single- and two-layer suture in pancreatojejunostomy performed in duodenum-preserving pancreatic resection according to Frey modification and to assess the changes of the quality of life 12 months after operation. A total of 80 patients were enrolled in the prospective randomized clinical. They were randomly allocated into two groups. In the first group of patients, pancreatojejunostomy was constructed by using single-layer continuous suture. In the second group of patients, pancreatojejunostomy was constructed by using two-layer interrupted suture. Overall time of the operation (208 ± 46 min. and 255 ± 58 min.) and the suturing time (19 ± 6 min. and 51 ± 18 min.) were significantly shorter in the single layer anastomosis group. Postoperative complications, the prevalence of pancreatic fistula, the length of stay did not differ in both groups. There was a statistically significant improvement of the quality of life 12 months after operation in the both groups of patients. |
| Type |
Summaries of doctoral thesis |
| Language |
English |
| Publication date |
2013 |
