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616.37-089 (2) |
Pathology of the digestive system. Complaints of the alimentary canal (1789) |
![]() HOTINEANU, Vladimir, HOTINEANU, Adrian, CAZAC, Anatol, IVANCOV, Grigore, SÎRGHI, Vitalie, COTONEŢ, Alexei, PRIPA, Valeriu, ŢÎBRIGAN, Tamara, MORARU, Elena, TALPĂ, Dumitru. Chirurgia pancreasului – experienţă 30 ani Clinica nr. 2 chirurgie. In: Buletinul Academiei de Ştiinţe a Moldovei. Ştiinţe Medicale, 2017, nr. 3(55), pp. 135-144. ISSN 1857-0011. |
EXPORT metadate: Google Scholar Crossref CERIF DataCite Dublin Core |
Buletinul Academiei de Ştiinţe a Moldovei. Ştiinţe Medicale | ||||||
Numărul 3(55) / 2017 / ISSN 1857-0011 | ||||||
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CZU: 616.37-089 | ||||||
Pag. 135-144 | ||||||
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Rezumat | ||||||
Studiul prezintă rezultatele tratamentului chirurgical aplicat la 652 pacienţi cu pancreatită cronică (PC) şi complicaţiile ei, 1029 – сu tumori pancreatice în perioada anilor 1987-2017. Operaţiile de elecţie în cazurile de PC şi complicaţiile ei au inclus: pancreatojejunostomie pe ansa Roux(PJA), duodenpancreatectomie cefalică (DPC), pancreatectomie corporocaudală, litextracţie endoscopică din ductul Wirsung, fi stulojejunostomie, splanhnicectomie toracoscopică, papilosfi ncterotomie endoscopică, stentare endoscopică a coledocului. Pentru cazurile complicate cu pseudochist pancreatic (PP) - drenare externă a PP, chistpancreaticojejunstomie (CPJS) pe ansă Roux, puncție și drenare externă echoghidată. În cazurile de PC complicată cu icter mecanic-pancreatojejunostomie (PJS) cu colecisto- sau coledoco-jejunostomie (CsCJS) pe ansă bispiculată a la Roux, CPJS cu CsCJS pe ansă bispiculată a la Roux. În cazurile de tumori pancreatice - duodenpancreatectomie cefalică (DPC), pancreatectomie corporo-caudală, enucleerea tumorii, coledoco-jejunostomie (CJS) pe ansă a la Roux, gastro-jejunostomie (GJS), splanhnicectomie toracoscopică, papilosfi ncterotomie endoscopică, stentare endoscopică a CBP. |
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Cuvinte-cheie pancreatită cronică, insulinom pancreatic, complicaţii, Tratament, cancer de pancreas |
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Cerif XML Export
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Operaţiile de elecţie în cazurile de PC şi complicaţiile ei au inclus: pancreatojejunostomie pe ansa Roux(PJA), duodenpancreatectomie cefalică (DPC), pancreatectomie corporocaudală, litextracţie endoscopică din ductul Wirsung, fi stulojejunostomie, splanhnicectomie toracoscopică, papilosfi ncterotomie endoscopică, stentare endoscopică a coledocului. Pentru cazurile complicate cu pseudochist pancreatic (PP) - drenare externă a PP, chistpancreaticojejunstomie (CPJS) pe ansă Roux, puncție și drenare externă echoghidată. În cazurile de PC complicată cu icter mecanic-pancreatojejunostomie (PJS) cu colecisto- sau coledoco-jejunostomie (CsCJS) pe ansă bispiculată a la Roux, CPJS cu CsCJS pe ansă bispiculată a la Roux. În cazurile de tumori pancreatice - duodenpancreatectomie cefalică (DPC), pancreatectomie corporo-caudală, enucleerea tumorii, coledoco-jejunostomie (CJS) pe ansă a la Roux, gastro-jejunostomie (GJS), splanhnicectomie toracoscopică, papilosfi ncterotomie endoscopică, stentare endoscopică a CBP.</p></cfAbstr> <cfAbstr cfLangCode='EN' cfTrans='o'><p>Study includes the results of surgical treatment of 652 patients with chronic pancreatitis and its complications, 1029 pancreatic tumor during the period 1987-2017 in Surgical Clinic No. 2. Operations chosed for chronic pancreatitis and its complications include pancreatojejunostomy (PJS) on the Roux loop, cefalic duodenpancreatectomy (CDP), corporo caudal pancreatectomy, lithextraction endoscopy from wirsung duct, fistulojejunostomy, thoracoscopic splanchnectomy, endoscopic papillosphincterotomy, endoscopic stenting for common bile duct. For complicated cases with pancreatic pseudocyst (PP) were choosed - cystpancreatojejunstomy (CPJS) on the Roux loop with external drainage of PP, ultrasound guided puncture of PP. Complicated cases revealed of PC with obstructive jaundice - PJS with cholecysto-or-choledochojejunostomy(CoCJS) on the splitted Roux loop, chistpancreatojejunostomy (CPJS) with CoCJS on the splitted Roux loop. In case of pancreatic tumor – CDP, corporo - caudal pancreatectomy, thoracoscopic splanchnectomy, endoscopic papillosphincterotomy, endoscopic stenting for common bile duct.</p></cfAbstr> <cfAbstr cfLangCode='RU' cfTrans='o'><p>В работе представлены результаты хирургического лечения 652 больных хроническим панкреатитом и его осложнений, 1029 – c oпухолями поджелудочной железы в период 1987-2017 гг. 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