Results of partial and total pancreaticoduodenectomy in 117 patients with chronic pancreatitis

摘要: This is a report of 117 pancreaticoduodenectomies performed for chronic pancreatitis, which 49 were partial and 68 total. The operative mortality rate pancreaticoduodenectomy was 8.2% total pancreatectomy 20.6%. During follow-up period 6 1/2 years, 76% 63% the surgical patients, respectively, continued to drink alcohol as heavily before. Prior pancreatectomy, only 42% patients had diabetes. After extirpation organ, all diabetes 75% very difficult stabilize with insulin, experiencing repeated episodes hypoglycemic shock. additional late 20.4% following 19.1% after resection. 50% deaths due hypoglycemia. 11% fewer still alive at end than pancreaticoduodenectomy. Total justified in who already have requiring insulin. A new technique described which, resection head pancreas, duct system occluded by injection rapidly hardening amino acid solution, leading atrophy excretory pancreas within few weeks. procedure has been carried out 39 2.5% postoperative complications 7.6%. We believe that immediate risk pancreatitis can be decreased markedly results improved this technique.