Application of damage control surgery concept application in 22 cases of pancreas trauma

VernacularTitle:损伤控制外科理念在22例胰腺外伤治疗中的应用
Author: Wei YU ¹ ; Zhengwei SONG ; Zhengxiang ZHONG ; Jianguo FEI ; Juncheng LI
Author Information

1. 314000,浙江省嘉兴市第二医院肝胆外科
Keywords: Pancreas trauma; Demage control surgery; Treatment
From: Chinese Journal of Postgraduates of Medicine 2017;40(10):908-911
CountryChina
Language:Chinese
Abstract: Objective To investigate the application of damage control surgery (DCS) concept in treatment of pancreas trauma. Methods The clinical data of 22 cases of pancreas trauma from January 2009 to June 2016 were analyzed retrospectively, including degree of injury, therapies and effect. Results Following DCS concept, 3 cases were given conservative treatment, and 19 cases were treated by operation, including debridement, hemostasis, suture, simple drainage and preserved pancreas function;21 cases were cured and 1 died;pancrestic fistula occurred in 11 cases, abdominal infection occurred in 6 cases and injured pancreatitis occurred in 1 cases by conservative treatment;false cyst occurred in 1 cases 6 weeks after operation. All patients were followed up for 12-36 months, with an average of (25.1 ± 1.7) months, and No significant impact was seen on the lives or work of 21 patients after surgery. Conclusions Pancreas trauma needs early-stage diagnosis and active treatment. Rational application of dcs concept can reduce the mortality and improve the outcome effectively.