RETROSPECTIVE ANALYSIS OF CAUSES ON UNSUCCESSFUL SURGICAL TREATMENT OF THE CHRONIC PANCREATITIS AND PANCREATIC CYSTS COMPLICATIONS

Retrospective analysis of 108 observation files of 66 patients, operated on for chronic pancreatitis complications and 42 — for postnecrotic pancreatic cysts, using draining, resection—draining and resection operations, was conducted. Morphological changes in pancreatic parenchyma and pancreatic postnecrotic cysts at the operation time were compared with intraoperative blood loss, rate and character of intraoperative and post/ operative complications, depending on the kind, duration, volume and adequacy of the operations performed, as well as with lethality rate. Disadvantages in surgical treatment were noted in 57 (57%) patients, and 4 (3.7%) patients died. Unsuccessful surgical treatment in 64.9% observations was caused by incapacity to perform an adequate surgical intervention, the anastomosis sutures insufficiency, postoperative hemorrhage and significant intraoperative blood loss