Abstract:
Introduction. Chronic pancreatitis is commonly defined as a continuing, chronic, inflammatory process of
the pancreas, characterized by irreversible morphologic changes.
Aim of study. Evaluation of methods applied in the treatment of chronic pancreatitis
Methods and materials. A retrospective study was performed on the treatment methods applied to 80
patients with chronic pancreatitis, carried out during 2012-2020 within the Surgery Clinic No.2.
Results. The surgical approach includes drainage procedures in cases of dilated duct and resection
procedures for narrow ducts. Surgeries performed: cystopancreatojejunostomy (CPJS) on the loop by Roux
42(52,5%) cases, external drainage of PP13 (16,25%) cases, eco-guided drainage of PP-11 (13.75%) cases,
choledocojejunostomy on a speculate loop by Roux 7(8,75%) cases, caudal pancreatectomy with
pancreaticojejunostomy, splenectomy 3(3,75%) cases, enucleation of pancreatic cyst – 3(3,75%) cases,
DPC-1(1,25%)cases. The patients’ evolution was favourable in 50 (62,5%) cases. The rate of early
complications - 23 (28,75%) cases, late complications-15 (4,32%) cases reason for 4 (5%) of them required
a new classical surgery and 3 (3,75%) a minimally invasive. No case of postoperative death has been
reported.
Conclusion. Surgical treatment of PC has a high success rate, but must be individualized in relation to the
anatomical features, pain characteristics, endocrine and exocrine functions of the pancreas, concomitant
pathologies.
