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2011, Number 4

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Revista Cubana de Cirugía 2011; 50 (4)

Results of the surgical treatment in a pancreaticoduodenal trauma

Jiménez CAA, Cruz AJR, Marrero QLN, Aguiar MA

Language: Spanish
References: 20
Page: 490-499
PDF size: 344.00 Kb.


ABSTRACT

Introduction: rupture of pancreas and duodenum is a uncommon event, whose figures fluctuate between the 2 and the 4 % of the abdominal traumata. Most occur in penetrating abdominal wounds and in compressive traumata in road accidents.
Methods: a total of 19 patients were operated on due to a pancreaticoduodenal trauma in five clinical surgical hospitals of Ciudad de La Habana from 2008 to 2010. A retrospective study was conducted using the surveys designed to that end, applied to acting surgeons during the study period.
Results: the 63 % of patients had closed traumata with predominance of road accidents, most qualified as grade I (15 patients) and two patients as grade III. Both groups accounted for the 90 % of injuries. The more frequent surgical procedure used was the distal pancreatectomy with splenectomy. Eight patients had complications (42 %) where the most frequent one was the external pancreatic fistula in 4 patients, followed by peritonitis in two patients; three dyed (15 %), distributed as follow: from13 patients classified as degree I, one dyed (7 %) and two patients classified as degree III (100 %).
Conclusions: to obtain favorable results in this type of patient, it is necessary an appropriate classification according to location and severity of the injuries, as well as a proper selection of the surgical procedure.


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