PANCREATECTOMY (Greek pankreas, pankreatos a pancreas + ektome excision, removal) — full or partial removal of a pancreas.
Indications: malignant new growths of a pancreas, benign tumors at their deep arrangement in a parenchyma of gland, hron, indurative pancreatitis, acute destructive pancreatitis, an injury of a pancreas with damage of its main channel and crush of a parenchyma.
Depending on localization and prevalence patol, process make left-side P. (fig.), a pankreatoduodenalny resection or total pancreatoduodenectomy (see). The isolated removal of a body of a pancreas is applied seldom.
At acute destructive pancreatitis and an injury of a pancreas the following options P. are possible: a pankreatosekvestrektomiya (if nekrotizirovanny sites of a pancreas were sequestered), a pankreatonekrektomiya (a nekrotizirovanny part of a pancreas is allocated in partially stupid, partially acute way and delete), a pancreatectomy (iron is mobilized and delete to border of damage or a necrosis).
After P. surely bring a drainage to a stump and a bed of a pancreas.
A. A. Shalimov.