Pankreas ve duodenum yaralanmalarında pankreatikoduodenektomi
Küçük Resim Yok
Tarih
2002
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Amaç: Pankreas ve duodenum yaralanması nedeni ile pankreatikoduodenektomi uygulanan olguların geriye dönük olarak incelenmesi. Gereç ve Yöntem: Ege Üniversitesi Tıp Fakültesi Genel Cerrahi Kliniği'nde travma sonrası pankreatikoduodenektomi uygulanan 8 olgu geriye dönük olarak incelendi. Yaralanmaların 6'sı penetran, 2'si künt karakterdeydi. Yaş ortalamaları 29,2 (17-63 arasında) olan olguların 6'sı erkek, 2'si kadındı. Bulgular: Tüm olgularda komplike pankreatikoduodenal yaralanma ve buna eşlik eden l. veya II. Derece karaciğer yaralanması vardı. Büyük damar yaralanması 3 olguda, kolon yaralanması iki olguda, ince barsak ve mide yaralanması da birer olguda yandaş patolojilerdi. Hastaların 2'si sepsis nedeni ile kaybedildi. Birer olguda spontan olarak iyileşen safra ve pankreas fistülü gelişti. Sonuçlar: Pankreatikoduodenektomi pankreas ve duodenumun şiddetli yaralanmalarında yaşam kurtarıcı bir prosedür olarak uygulanabilir. Yeterli cerrahi deneyimi olan merkezlerde gerçekleştirildiğinde başarı oranı daha yüksektir.
Background: Patients who have undergone pancreaticoduodenectomy because of duodenopancreatic injury are retrospectively ' evaluated. Methods: Eight patients have undergone pancreaticoduodenectomy because of trauma in Ege University School of Medicine Department of Surgery. Six of the injuries were penetrating, and two of them were blunt. Six patients were male and two of them were female with a mean age of 29,2 (between 17 and 63). Results: All patients had complicated duodenopancreatic, and associated grade I and grade II liver injuries. Major vessels were injured in three patients. There were also two colonic one gastric, and one jejunal injury as a coexisting pathology. Two patients were died because of sepsis. One patient had pancreatic, and one had biliary fistula, both healed spontaneously. Conclusion: Pancreaticoduodenectomy should be practiced as a life-saving procedure in the management of severe duodenopancreatic trauma. Qualified centers with adequate experience have a higher success rate.
Background: Patients who have undergone pancreaticoduodenectomy because of duodenopancreatic injury are retrospectively ' evaluated. Methods: Eight patients have undergone pancreaticoduodenectomy because of trauma in Ege University School of Medicine Department of Surgery. Six of the injuries were penetrating, and two of them were blunt. Six patients were male and two of them were female with a mean age of 29,2 (between 17 and 63). Results: All patients had complicated duodenopancreatic, and associated grade I and grade II liver injuries. Major vessels were injured in three patients. There were also two colonic one gastric, and one jejunal injury as a coexisting pathology. Two patients were died because of sepsis. One patient had pancreatic, and one had biliary fistula, both healed spontaneously. Conclusion: Pancreaticoduodenectomy should be practiced as a life-saving procedure in the management of severe duodenopancreatic trauma. Qualified centers with adequate experience have a higher success rate.
Açıklama
Anahtar Kelimeler
Konu Ataması Yapılmamış
Kaynak
Ulusal Travma Dergisi
WoS Q Değeri
Scopus Q Değeri
Cilt
8
Sayı
2
