Treatment of injury in choledocho-pancreatico-duodenal junction in the era of damage control surgery
10.3760/cma.j.issn.1673-9752.2009.03.006
- VernacularTitle:损伤控制外科时代胆胰肠结合部损伤的治疗
- Author:
Yousheng LI
- Publication Type:Journal Article
- Keywords:
Choledocho-pancreatico-duodenal junction;
Injury;
Damage control surgery
- From:
Chinese Journal of Digestive Surgery
2009;8(3):176-178
- CountryChina
- Language:Chinese
-
Abstract:
Injuries in the choledocho-pancreatico-duo-denal junction are rare, and are frequently associated with other severe vascular and visceral injuries. Interventions during early operation may aggravate the condition of patients, while proper application of damage control surgery (DCS) is helpful in raising the survival rate. Therefore, for most of the patients with choledocho-pancereatico-duodenal junction injury, definite opera-tion should be performed after removal of necrotic tissues, control of infection and adequate drainage. However, DCS should be applied with caution, and the indications of DCS should be strictly followed, because reoperation will increase the chance of injury and infection after DCS.
