Conservative surgery for pancreatic neck transection

• Autorzy: Divya Dahiya , Surinder Singh Rana , Lileswar Kaman , Arunanshu Behera
• Języki publikacji: EN

Abstrakty

EN

Pancreas is the fourth solid organ injured in blunt abdominal trauma. Isolated pancreatic injury is present in less than 1% of patients. As it is associated with high morbidity and mortality, management is controversial. Isolated pancreatic trauma cases with pancreatic neck transection following blunt abdominal trauma were analyzed. All these patients were treated with immediate surgery involving lesser sac drainage and feeding jejunostomy only. Authors conclude that lesser sac drainage can be used as an alternative to distal pancreatectomy or pancreaticojejunostomy or pancreaticogastrostomy.

Słowa kluczowe

EN

pancreas; trauma; conservative surgery; transpapillary stenting

• Czasopismo: Polish Journal of Surgery
• Rocznik: 2015
• Tom: 87
• Numer: 6
• Strony: 315-319

Daty

wydano

2015-06-01

otrzymano

2015-06-01

online

2015-08-04

Twórcy

autor

Divya Dahiya

• Department of Surgery, PGIMER, Chandigarh, India,

autor

Surinder Singh Rana

• Department of Gastroenterology, PGIMER, Chandigarh, India

autor

Lileswar Kaman

• Department of Surgery, PGIMER, Chandigarh, India

autor

Arunanshu Behera

• Department of Surgery, PGIMER, Chandigarh, India

Bibliografia

• 1. Jobst M, Canty T, Lynch F: Management of pancreatic injury in blunt abdominal trauma. J Paediatr Surg 1999; 34: 818‑24.
• 2. Kao LS, Bulger EM, Parks DL et al.: Predictors of morbidity after traumatic pancreatic injury.J Trauma 2003; 55: 898‑905.
• 3. Al-Ahmadi K, Ahmed N: Outcomes after pancreatic trauma: experience at a single institution.J Can Chir 2008; 51(2): 118‑24.
• 4. Jurkovich G, Bulger EM: Duodenum and pancreas.In: Mattox KL, Moore ME, Feleciano DV, editors. Trauma. New York: McGraw-Hill Companies; 2004; p709‑734.
• 5. Khan MR, Ezaz K: Surgical management of blunt pancreatic trauma: A modus operandi or individualized therapy? J Pak Med Assoc 2008: S8(11); 638‑40.
• 6. Mayer JM, Tomczak R, Rau B et al.: Pancreatic injury in severe trauma: early diagnosis and therapy improves the outcome. Dig Surg 2002; 19: 291‑99.
• 7. Thompson CM, Shalhub S, De Board ZM et al.: Revisiting the pancreaticoduodenectomy for trauma: a single institution’s experience. J Trauma Acute Care Surg 2013; 75(2): 225‑28.
• 8. Aucar JA, Losanoff JE: Primary repair of blunt pancreatic transection. Injury 2004; 35: 29‑34.
• 9. Bridoux V, Khalil H, Foulatier O et al.: Conservative surgical treatment after complete pancreatic neck rupture. J Chir (Paris) 2007; 144(2): 153‑55.
• 10. Ali AMA, Abusedera MA: Pancreas preserving surgery in traumatic complete pancreas transec tion: A case series. Egyptian J Surg 2013; 32(1): 25‑31.
• 11. Nikfarjam M, Rosen M, Ponsky T: Early management of traumatic pancreatic transection by spleen-preserving laparoscopic distal pancreatectomy. J Pediatr Surg 2009; 44: 455‑58.
• 12. Leva E, Huscher C, Rode H et al.: Management of traumatic complete pancreatic fracture in a child: case report and review of literature. J Laparoendosc Adv Surg Tech A 2008; 18(2): 321‑23.
• 13. Chuan LB, Jade CR, Feng FJ et al.: Management of blunt major pancreatic injury. J Trauma- Injury Infection and Critical Care 2004; 56(4): 774‑78.
• 14. Keller SM, Stafford P, Holmes JH et al.: Conservative management of pancreatic trauma in children. J Trauma-Injury Infection and Critical Care 1997; 42: 1097‑1100.
• 15. Houben CH, Ade-Ajayi N, Patel S et al.: Traumatic pancreatic duct injury in children: minimal invasive approach to management. J Pediatr Surg 2007; 42: 629‑35.
• 16. Lin BC, Lin NJ, Fang JF et al.: Long-term results of endoscopic stent in the management of blunt major pancreatic duct injury. Surg Endosc 2006,20: 1551‑55.
• 17. Kaman L, Iqbal J, Pall M et al.: Current management of pancreatic trauma. Tropical Gastroenterol 2012; 33(3): 200‑06

Identyfikatory

DOI

10.1515/pjs-2015-0061