ĐÁNH GIÁ KẾT QUẢ PHẪU THUẬT ĐIỀU TRỊ VIÊM TỤY MẠN TẠI BỆNH VIỆN HỮU NGHỊ ĐA KHOA NGHỆ AN

Abstract

To evaluate outcome of surgical treatment of chronic pancreatitis at Nghe An Friendship General Hospital. This was a retrospective and prospective study on 32 patients who had chronic pancreatitis and were operated from january 2020 to december 2023 at Nghe An Friendship General Hospital. There were 28 males (87,5%) and 4 females (12,5%) enrolled in this study. The mean age of the patients was 49,6 (35-68). All patients had pain in upper abdomen, 31,3% weight loss and the mean BMI was 18.82. The rate of cases which had stone in the head of pancreas was 34,4%, in all part of pancreas was 53,1%, almost patients has enlarged main pancreatic duct. Surgical methods were Partington Rochelle (12.5%), Frey (62,5%), Frey-Beger (18.8%), Pancreaticoduo-denectomy (6,2%). The rate of post-operative complications was 9,4% and  no one died. Evaluating after 6 months showed that there are many cases who were improved quality of life, 96,9% of the patients had no or reduced a lot of abdominal pain. Conclusion: Pressure reduction surgery is a safe and effective procedure in treatment of chronic pancreatitis, help reduce symptom, improve quality of life, but only applied in proper patients (enlarged main pancreatic duct, obstruction of bile duct, Pancreatic Pseudocysts and not response to internal medicine).