Abstract

JIMENEZ CARRAZANA, Agustín Alberto; CRUZ ALONSO, Juan Ramón; MARRERO QUIALA, Luis Noel  and  AGUIAR MENDOZA, Armando. Results of the surgical treatment in a pancreaticoduodenal trauma. Rev Cubana Cir [online]. 2011, vol.50, n.4, pp.490-499. ISSN 0034-7493.

Introduction: rupture of pancreas and duodenum is a uncommon event, whose figures fluctuate between the 2 and the 4 % of the abdominal traumata. Most occur in penetrating abdominal wounds and in compressive traumata in road accidents. Methods: a total of 19 patients were operated on due to a pancreaticoduodenal trauma in five clinical surgical hospitals of Ciudad de La Habana from 2008 to 2010. A retrospective study was conducted using the surveys designed to that end, applied to acting surgeons during the study period. Results: the 63 % of patients had closed traumata with predominance of road accidents, most qualified as grade I (15 patients) and two patients as grade III. Both groups accounted for the 90 % of injuries. The more frequent surgical procedure used was the distal pancreatectomy with splenectomy. Eight patients had complications (42 %) where the most frequent one was the external pancreatic fistula in 4 patients, followed by peritonitis in two patients; three dyed (15 %), distributed as follow: from13 patients classified as degree I, one dyed (7 %) and two patients classified as degree III (100 %). Conclusions: to obtain favorable results in this type of patient, it is necessary an appropriate classification according to location and severity of the injuries, as well as a proper selection of the surgical procedure.

Keywords : pancreaticoduodenal trauma; pancreatic fistula; pancreatectomy; pancreatoduodenectomy; pyloric exclusion.

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