[Pancreatic trauma: 25-year experience].
The authors present 25 years experience in the treatment of traumatic injuries of pancreas. The clinical material covers 24 patients for the period 1984-2004. Twenty two (22) are gunshot injuries to the pancreas and 2 are blunt pancreatic injuries. From the traumatic lesions predominated the hematoma (I AAST grade) in 12 (50%) cases, lacerations (II AAST grade) in 9 (37,5%) cases, rupture of the pancreas in 3 (12,5%)--two patients with III grade and one patient with IV grade pancreatic injuries. Localizations of the lesions are as follow: body of the pancreas--13 (54,1%), tail--6 (25%), head--5 (20,8%) cases, Performed procedures are suture of the pancreatic capsule at 7 patients, distal pancreatic resection at 5 and laoparostomy at 4 patients. The following postoperative complications occurred: retroperitoneal phlegmon in 1 case, diffuse peritonitis--7, sepses--6, intraabdominal hemorrhage--4, hepato-renal syndrome--4, bronchopneumonia--4, stress ulcus--2, posttraumatic pancreatitis--1, pancreatic fistula--1. The mortality rate is 50% in the group of the gunshot injuries, while in cases of blunt trauma there were no dead. Conclusion--the authors point out the severity of the abdominal traumas in the presence of gunshot pancreatic injuries.
Kirov
G
G
Kondarev
M
M
D006801:Humans; D009104:Multiple Trauma / Q000175:diagnosis / Q000601:surgery*; D010179:Pancreas / Q000293:injuries* / Q000601:surgery*; D010180:Pancreatectomy; D011183:Postoperative Complications / Q000209:etiology; D015599:Trauma Severity Indices; D016896:Treatment Outcome; D014948:Wounds, Gunshot / Q000175:diagnosis / Q000601:surgery*