China ; Humans ; Pancreas ; surgery

Humans ; Pancreas ; surgery

Sevens cases of pancrea duodenal emergency cutting showed: the combining of the injuries of pancreas and duodenum in a clinical image of multiplex injuries. In these conditions, blood Amylaza level, urine or abdomen fluid and the CT scanning gave diagnostic values in pancrea damage and the combining damage of compact diathesis. Pancrea duodenal cutting must be indicated when the vascularization into duodenum and pacrea head could not be controlled; blood injury and loss of pulse or irreversible injury in the area of Vater ampulla; IV grade of pancrea duodenal injury as well as in the favorable conditions of anesthesia resuscitation with qualified surgeons.
Surgery ; Emergencies ; Pancreas ; Duodenum

Dnodeno pancreas tectomy (Whipple surgery) is a rare surgery, in dicated mainly in pancrea head cancer (15-20%) in Europe and America. The head of pancrea, the duodenim, distant part of stomach and a past of jejunum were removed, digestive tract was recoustructed according child improvingly. A male patient of 45 year old age undergone the surgery in St. Paul Hospital. Post-operation: no pain, normal diet, normal urine. Discharged after 11 days, it is a complicated surgery with great risks, therefore it is necessary to prepare well pre-ocupationally. Advance anesthesia and resussitation, the technical improvements had contributed more in the success with a mortality of < 3%
Pancreas ; Whipple Disease ; Pancreas ; Therapeutics ; surgery ; neoplasms ;

Humans ; Pancreaticoduodenectomy ; Pancreatectomy ; Pancreas/surgery* ; Duodenum/surgery* ; Pancreatic Neoplasms/surgery*

Through 10 cases of calculus of the pancreas chronical pancreatitis calcified in head, trunk and tail of the pancreas, associated with the dilatation of the main duct of pancreas (6/10 patients were alcoholism, 10/10 had got abdomen pain treated internally, 10/10 ahd weight loss, 3/10 with the syndrom of bile obstruction, 2/10 with diabetes) operated by a combing surgery of Frey and Beger method, without death. Premiminary results showed that the pain was reduced, chronical pancreatitis was controlled and the complications for neighbourhood organs caused by this condition, such as bile obstruction, main bile duct obstruction..) were prevented. The excretion and endocrinological functions of the pancreas were preserved, living quality was obviously improved.
Surgery ; Therapeutics ; Pancreatitis, Chronic ; Lithiasis ; Pancreas

Drainage ; Humans ; Pancreas ; surgery ; Pancreaticoduodenectomy ; Stents

Enhanced recovery after surgery is a multimodal perioperative strategy according to the evidence-based medicine and multidisciplinary collaboration, aiming to improve the restoration of functional capacity after surgery by reducing surgical stress, optimal control of pain, early oral diet and early mobilization. Compared with other sub-specialty in general surgery, pancreatic surgery is characterized by complex disease, highly difficult procedure and more postoperative complications. Accordingly, pancreatic surgery shares a slow development in enhanced recovery after surgery. In this review, the feasibility, safety, application progress, prospect and controversy of enhanced recovery after surgery in pancreatic surgery are discussed.
Humans ; Pancreas ; surgery ; Pancreatic Diseases ; surgery ; Postoperative Complications ; prevention & control

Acute Disease ; Humans ; Pancreas ; Pancreatitis ; surgery ; Pancreatitis, Acute Necrotizing

Descriptive study was carried out on 66 patients with pancreas head tumors diagnosed clinically, who underwent CT scanning and were treated surgically at Viet Duc Hospital. Ultrasound values were evaluated through the results of operation and pathological anatomy. CT scanning had achieved sensitivity of 96.8% and an accuracy of 90.9% in the diagnosis of the tumors. These values attained 52.3% and 66.7% in the detection of infiltrative signs in neighbouring organs and 75.0% and 90.9% in vessel infiltration. CT scanning was limited in the diagnosis of glandular metastasis and liver metastasis of tumors at pancreas head
Neoplasms ; Pancreas ; diagnosis ; Therapeutics ; surgery ; Tomography, X-Ray Computed