SURGICAL TREATMENT FOR CYSTIC LESIONS OF THE PANCREAS

During the period 2011-2021, 45 patients with pancreatic cysts were treated at the Alexander-Mariinsky Regional Clinical Hospital in Astrakhan. All patients were divided into 2 groups. 20 patients of the first group (45%) underwent external drainage of cysts, 7 out of them underwent obliteration of residual cavities by the method developed by us. To do this, the drug Povidone - Iodine 10% was used. The second group included 25 (55%) patients with internal drainage of cysts: in 5 patients (11%) pancreacystogastrostomy was performed; in 9 patients (20%) - pancreatocystoejunostomy; in 5 patients (11%) - pancreatic drainage; in 5 (11%) - laparoscopic cystectomy; and open echinococcectomy was performed in 1 patient (2%). Clinical, laboratory, instrumental and statistical research methods were carried out. A comparative evaluation of two methods of drainage operations for pancreatic cysts showed the advantage of internal drainage over external. 7 (16%) patients had a variety of complications. The recurrence of cysts was 4 (9%) cases. All the patients recovered. There were no cases of lethality.