Вопросы и пути их решения при панкреатодоуденальной резекции

Вопросы и пути их решения при панкреатодоуденальной резекции

Автор: Ахметзянов Ф.Ш., Котельников А.Г., Тер-ованесов М.Д., Егоров В.И., Гостюнин Т.Д., Карпеева О.А.

Журнал: Сибирский онкологический журнал @siboncoj

Рубрика: Обзоры

Статья в выпуске: 2 т.23, 2024 года.

Бесплатный доступ

Актуальность. Панкреатодоуденальная резекция (ПДР) является основным видом хирургического лечения злокачественных опухолей головки поджелудочной железы, дистальной части холедоха, двенадцатиперстной кишки и Фатерова сосочка. Данная операция сопряжена с высоким риском осложнений, развитию которых способствуют разные факторы. Поскольку, панкреатическая фистула является ключевым осложнением ПДР, то особенно важным становится выбор способа формирования панкреатического анастомоза. Материал и методы. Поиск литературных источников, опубликованных с января 1980 г. по январь 2024 г., производился в системах PubMed, Elibrary. Из 2 300 найденных источников для написания обзора использованы 69. Включены данные как ретроспективных, так и проспективных клинических исследований, посвященных панкреатодоуденальным резекциям при злокачественных новообразованиях, сложностям, которые встречаются при данной операции, и путям их решения. Обобщен опыт зарубежных и отечественных авторов.

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Рак поджелудочной железы, рак холедоха, рак большого доуденального сосочка, панкреатодоуденальная резекция, операция уиппла, панкреатический свищ, панкреатодигестивный анастомоз

Короткий адрес: https://sciup.org/140305913

IDR: 140305913   |   DOI: 10.21294/1814-4861-2024-23-2-82-91

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