Journal of Osh State University. Medicine
Journal of Osh State University. Medicine
e-ISSN 1694-8831
DOI: 10.52754/16948831
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Comparative efficacy of monotechnological laparoscopic versus traditional laparotomy interventions in acute pancreatitis: Analysis of clinical outcomes

Myktybek Chapyev

Received 12.02.2025, Revised 26.05.2025, Accepted 16.06.2025

Abstract

Acute pancreatitis remains one of the most pressing problems in emergency surgery due to its high mortality rate and risk of complications, which necessitates the search for safer and more effective surgical techniques. The study aimed to conduct a comparative analysis of the efficacy and safety of single-technique laparoscopic interventions compared with traditional laparotomy in patients with acute pancreatitis. The study included 136 patients divided into two groups: the main group (n=74), in which laparoscopic interventions were performed; and the control group (n=62), in which laparotomy operations were performed. A retrospective-prospective design was employed, clinical and laboratory indicators, instrumental imaging methods and statistical processing with an assessment of the reliability of differences were used. The results revealed an advantage of laparoscopy. The average length of hospitalisation in the main group was significantly shorter (18.7 ± 1.2 days versus 29.1 ± 2.3 days in the control group, p < 0.05). Mortality was almost half as low (12.1% versus 24.4%), and the frequency of postoperative complications was also significantly lower. Additional advantages of laparoscopy were minimal trauma, the possibility of combined manipulations, and faster patient recovery. At the same time, certain risks were noted drainage failure and the need for conversion in 2.3% of cases, which emphasises the importance of strict patient selection. The practical significance of the study is determined by the justification for the widespread introduction of laparoscopic technologies in the surgical treatment of acute pancreatitis. Their use significantly reduces the length of hospitalisation, lowers complication and mortality rates, and improves clinical outcomes, making laparoscopy the preferred tactic for this pathology


Keywords:

minimally invasive surgery; pancreonecrosis; postoperative complications; drainage; conversion of surgery; rehabilitation; inflammatory complications

https://doi.org/10.52754/16948645_2025_4(1)_31

Retrieved from Vol. 4, No. 1, 2025

Pages 31-38

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Suggested citation

APA
Chapyev, M. (2025). Comparative efficacy of monotechnological laparoscopic versus traditional laparotomy interventions in acute pancreatitis: Analysis of clinical outcomes. Journal of Osh State University. Medicine, 4(1), 31-38. https://doi.org/10.52754/16948645_2025_4(1)_31
Vancouver
Chapyev M. Comparative efficacy of monotechnological laparoscopic versus traditional laparotomy interventions in acute pancreatitis: Analysis of clinical outcomes. J Osh State Univ Med. 2025;4(1):31–8. doi:10.52754/16948645_2025_4(1)_31