Effect of damage control laparotomy on the treatment of serious pancrea injury in 38 cases

VernacularTitle:损伤控制性剖腹术治疗严重胰腺损伤38例分析
Author: Shanyong XU ; Xuhai ZHAO ; Xiaojuan LIU ; Shuangyan WANG
Publication Type:Journal Article
Keywords: Wounds and injuries; Pancreas; Damage control operation
From: Chinese Journal of Primary Medicine and Pharmacy 2009;16(5):789-790
CountryChina
Language:Chinese
Abstract: Objective To Summarize experiences in the treatment of serious injury of pancreas using damage control laparotomy. Methods Retrospectively analyze the choice of surgical method and follow-up treatments on 38 patients cured by DCL,who were in serious injury of pancreas. Results 12 cases(32%) were stanched, surgical debrided and drainage quickly,6 cases(16%) were treated with improved Cogbill operation,and 20 cases(S3% ) were treated with pancreateduodenectomy without reconstruction of enteron. After recovery in SICU, all patients were treated with deterministic operation again. Totally 4 cases(11%) died,with no relation with surgical operation,and 34 cases (89%) were cured. Pancreatic fistula occurred in 4 patients(11% ) ,all of which have been cured with conservative treatment. Conclusion Patients with serious injury of pancreas in accordance with DCL, should choose proper method and take fractionated operation,based on different places and extent of the injury of pancreas.