Duodenum-preserving pancreatic head resection in patients with chronic pancreatitis-our modification of begeŕs operation versus the original berne version of beger's opera-tion

Purpose. A prospective study was performed to evaluate two options for surgical treatment in patients with chronic pancreatitis: duodenum-preserving pancreatic head resection with dissection (Beger̀s operation in our clinic modification) and without dis-section (Berne version of Beger̀s operation) of the pancreas over the portal vein. Methods. A prospective study of patients with chronic pancreatitis, who had inflammatory mass in the head of the pancreas. Points of the study: duration of surgery, the volume of intraoperative blood transfusion , duration of treatment in the intensive care unit, duration of hospitalization after surgery, frequency and structure of postoperative complications, frequency of repeat-ed surgical interventions in the early and late postoperative period, the level of quality of life in patients within 6-24 months af-ter surgery. Results. 82 patients participated in the study. The time of surgery was significantly lower in the Berne version subgroup (differ-ence-64 minutes, p <0,05). Intraoperative blood transfusion in the Berne version subgroup was also significantly lower than during Beger̀s operation in our clinic modification (difference-353 ml, p <0,05). The duration of treatment in the intensive care unit in the postoperative period was significantly shorter in the Berne version subgroup (difference-0.7 days, p <0,05), as well as the duration of hospitalization (difference-6.8 days, p <0 05). The incidence of early postoperative complications was 28,2% (11 cases) in the subgroup of Beger̀s operation in our clinic modification , in the subgroup of Berne version-32,5% (14 cases). Qual-ity of life in patients, estimated within 6-24 months by using SF-36 questionnaire was not significantly different in subgroups .