Comparative Study of Different Types of Pancreatic Head Resection for Chronic Pancreatitis

Abstract For the surgical treatment of chronic pancreatitis with inflammatory head enlargement, several types resections are available, like Beger, Frey, Berne, and Whipple procedures. The present work gives a comparison these techniques new recommendations about pancreatojejunal biliary anastomosis. Two hundred thirty pancreatic were performed during last 30 years. Pre-, intra-, postoperative data analyzed, respectively. A questionnaire was used to investigate late results. statistical analysis proved that Berne Frey procedure most advantageous regarding length operation, need for transfusion, intensive care unit, total hospital stay. early morbidity rate significantly better after than procedure. There no differences between operations, concerning reoperation mortality rates. Patients’ quality life acceptable, despite continuous alcohol nicotine abuse in them. Due outcomes, both operations preferable; however, latter one is technically simplest shortest intervention. During procedures, modification anastomosis and, case cholestasis, an extrapancreatic biliodigestive recommended, due experiences.