Choosing a surgical method of treatment of postnecrotic pancreatic cysts is an extremely urgent problem these days. With developing technologies and increasing number of minimally invasive methods of treatment, diagnostic capabilities tend to improve. Whereas traditional methods of surgical treatment do not lose their relevance, recent studies optimize the indications for their implementation, which in turn reduces the frequency of the nearest and distant postoperative complications. The article deals with the questions of conservative therapy of postnecrotic cysts, indications and choice of a method of surgical treatment. It covers the methods of minimally invasive surgery, the application of which allows achieving excellent clinical results of treatment The authors pays particular attention to the recent tendency of using several methods of minimally invasive treatment describing that the combination of minimally invasive internal and external drainage has shown its effectiveness. It should be noted that performing intervention data from the position of pathogenetic treatment helps to achieve a good clinical result. The data on the success of combined drainage of postnecrotic cysts are few, which requires confirmation by a large number of publications. Thus, the high incidence of acute pancreatitis, the lack of diagnostic algorithms and clear indications for a wider range of existing methods of surgical treatment of postnecrotic pancreatic cysts leaves a field for subsequent studies and observations.
The problem of choosing the method of surgical treatment of postnecrotic pancreatic cysts remains extremely urgent these days. With the development of technology, recently there has been a clear trend towards improving diagnostic capabilities and the emergence of an increasing number of minimally invasive methods of treatment, while traditional methods of surgical treatment do not lose their relevance, but recent studies optimize the indications for their implementation, which in turn reduces the frequency of the nearest and distant postoperative complications. In the article the questions concerning conservative therapy of postnecrotic cysts, indications and choice of a method of surgical treatment are considered. The methods of minimally invasive surgery are widely covered, the application of which allows achieving excellent clinical results of treatment. Particular attention is paid to the recent tendency of using several methods of minimally invasive treatment, the combination of minimally invasive internal and external drainage has shown its effectiveness, it should be noted that a good clinical result can be achieved by performing intervention data from the position of pathogenetic treatment. There are only a few data on the success of combined drainage of postnecrotic cysts, which requires confirmation by a large number of publications. Thus, the high incidence of acute pancreatitis, the lack of a diagnostic algorithm and clear indications for a wide range of existing methods of surgical treatment of postnecrotic pancreatic cysts leaves a field for subsequent studies and observations.