Pancreas resection is the removal of part of it in malignant neoplasms, cysts, extensive damage to the body, head or tail of the organ. The doctor's decision to remove part of the gland or the entire organ depends on the localization and spread of the pathology.
This operation is very complicated and highly traumatic, therefore indications for such a surgical intervention are very strict. This takes into account the general condition of the patient, the nature of the spread of the tumor, the state of the organs that will be operated on, and the surrounding tissues. In order to prevent complications after resection, many specialists apply special methods of processing the stump of the pancreas.
Currently, resection intervention( surgery Frey, Beger) is used for surgical treatment of chronic pancreatitis. But these operations are in most cases carried out when there is a defeat of the pancreas head in pancreatitis. For such patients, the special development of resection interventions is especially urgent. The method of resection, proposed by Frei, is widely used.
Distal resection of the pancreas is performed in cases where the tail or body of the body is covered with inflammation or swelling. This removes part of the gland, and its duct is sutured at the level of separation. Sometimes a surgeon has to connect the duct of the pancreas and the small intestine. All surgical procedures are performed in such a way as not to affect the patient's spleen. But this is not always possible, because the tail of the pancreas and the spleen have a common blood circulation. To avoid negative side effects of surgery, the gallbladder is usually removed.
The postoperative condition of the patient depends on which part of the pancreas has been removed. Quite often, with distal resection, digestion and diabetes mellitus are avoided. If the spleen was removed, the possibility of thromboses and a decrease in the resistance of the organism to various infections is great. Indications for distal resection are: trauma and crushing of the organ, chronic pancreatitis with local complications, fistulas, tumors, cysts of the gland - true and combined, limited parenchyma involvement in destructive pancreatitis, as well as interference with affection of adjacent organs.
Consequences of pancreatic resection
Surgical intervention associated with pancreas resection refers to risky operations. Before carrying out such manipulations, the study of the general condition of the patient is carefully conducted, a number of instrumental studies are used. However, despite such careful preparation, in some cases, as a result of the operation, quite serious consequences come.
The most common are: bleeding, the emergence of infections, damage to neighboring organs, as well as nerve endings. In addition, often occurs the ingestion of pancreatic enzymes directly into other organs. Most often such consequences occur immediately during resection. However, quite often, they arise and after some time after surgical intervention.
At least as a result of surgery the patient acquires diabetes mellitus. Also in the list of leading negative consequences of resection, pancreatic insufficiency, which manifests itself in the production of insufficient amounts of enzymes. Often, against the background of such intervention, the patient begins to acquire an excessive body weight, resulting in obesity.