Publication Details
Abstract
Acute pancreatitis remains one of the most common and severe inflammatory diseases of the abdominal cavity, accounting for approximately 25% of all acute abdominal pathologies. By comparison, acute appendicitis and acute cholecystitis account for 26% and 28%, respectively. According to global statistics, the mortality rate in acute pancreatitis ranges from 10% to 15%. The high mortality is primarily attributed to delayed medical intervention, incorrect initial diagnosis, and failure to accurately determine the stage and severity of the disease. The purpose of this study was to expand and optimize diagnostic and therapeutic capabilities of laparoscopy and videoendoscopy in patients with emergency surgery on acute pancreatitis. For our study we selected 34 patients with acute pancreatitis, 23 men 67,6% and 11 women 32,3%. From our selection 8 patients 23,5% came to the hospital from 6 to 12 hours from the beginning of the disease, 13 patients 38,2% from 12 to 24 hours, 9 patients 26,4% from 24 to 36 hours and 4 patients 11,7% after 36 hours. Eighteen patients 52,9% of our patients had the combined videoendoscopic and laparoscopic techniques applied ERCP + EPST + laparoscopy and sixteen patients 47% had a conservative therapy. Positive clinical results in our selection were performed in the vast majority of patients after minimal invasive interventions. The overall mortality rate was 11,8%, and this rate was several times lower as compared to techniques of general surgeries implemented in different surgical departments. The combined use of laparoscopy and videoendoscopic techniques enabled us to make an accurate diagnosis and effectively manage all complications of the pancreas. The combined use of videolaparoscopic and videoendoscopic techniques represents an effective, safe, and minimally invasive approach for the management of acute pancreatitis and its complications, leading to improved diagnostic accuracy, reduced postoperative complications, and better overall treatment outcomes.