Diagnosis and treatment of pancreatic trauma with main pancreas duct break
- VernacularTitle:合并主胰管断裂的胰腺外伤诊断与治疗分析
- Author:
Qian QIN
;
Kaide SHI
;
Shoujun WANG
;
Libin WANG
;
Hong LI
- Publication Type:Journal Article
- Keywords:
trauma of pancreatic;
main pancreatic duet;
diagnosis;
treatment
- From:
International Journal of Surgery
2008;35(9):588-590
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the diagnosis and treatment of pancreatic trauma with main pancreas duct break. Methods Forty-four cases of severe pancreatic trauma with main pancreas duet break were retrospectively analyzed including their diagnosis and different operation performed according to the severity of pancreatic trauma. Results All of severe pancreatic trauma could be diagnosed by CT scan and B-ultrasonic examination. But the main pancreas duct break or not should be determined by surgical exploration. Emergency operations were performed for all cases , distal part pancreaticojejunostomy in 27 cases; modified duodeno-divertiulaization in 3 cases, duode-nojejunostomy in 3cases, pancreaticeduodenectomy in 2 cases, 41 cases were cured. The mortality was 6.8%. Conclusion CT scan is the most helpful means to diagnose pancreatic trauma. An appropriate and timely emergen-cy operation is the key to reduce mortality.
