만성췌장염에서 시행한 췌십이지장절제술 및 췌장절제술
Pancreaticoduodenectomy and Pancreatic Resection in Chronic Pancreatitis
김한준, 이광수, 이경근, 권오정, 이흥우,
소속 상세정보
김한준 ( Kim Han-Joon )
한양대학교 의과대학 외과학교실
이광수 ( Lee Kwang-Soo )
한양대학교 의과대학 일반외과학교실
이경근 ( Lee Kyeong-Geun )
한양대학교 의과대학 외과학교실
권오정 ( Kwon Oh-Jung )
한양대학교 의과대학 외과학교실
이흥우 ( Lee Heung-Woo )
한양대학교 의과대학 외과학교실
KMID : 0371320010610030317
Abstract
Purpose
Chronic pancreatitis is difficult to cure because relapse is common. In particular the removal of stone is very difficult in pancreatolithiasis (pancreatic stone), and is associated with pancreatic duct stenosis. We attempted to evaluate the risk
and
the outcome of pancreatic resection in chronic pancreatitis.
Methods
We retrospectively reviewed the clinical records of twelve patients with chronic pancreatitis who had undergone pancreatic resection at our hospital between January, 1991 and December, 2000.
Results
Pancreaticoduodenectomy was performed in nine cases and distal pancreatectomy in three cases. In the nine cases of pancreaticoduodenectomy, five cases were asso
ciated with pancreatolith and four cases were suspected malignancy. In one case of distal pancreatectomy, a pigtail drain was inserted due to postoperative pancreatic leakage. Additionally, one patient who underwent distal pancreatectomy was
readmitted
one year later due to recurred pancreatitis. The remaining ten patients were discharged without complications and followed up without pain.
Conclusion
According to two complementary theories (visceral compartment syndorme and neural inflammatory theory), pancreatic resection is better than more conservative treatment, ensuring the elimination of pain. If performed by an expert surgeon,
pancreatic
resection is a safe and effective treatment for chronic pancreatitis.
키워드
만성췌장염; 췌장결석; 췌십이지장절제술; 췌미부절제술; Chronic pancreatitis; Pancreatolith; Pancreatolithiasis; Pancreaticoduodenectomy; Distal pancreatectomy;
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