[Postoperative acute pancreatitis after treatment of traumatic spleen lesion].
Results of the surgical treatment of 96 patients with isolated blunt spleen trauma and 43 patients with intraoperative spleen injury were analyzed. Acute postoperative pancreatitis developed in 20 patients (14,4%). Interdependence between the type and extent of the operative spleen treatment and pancreatitis frequency was registered. Of 93 splenectomized patients 18 (19,4%) developed postoperative pancreatitis, and of 46 patients, who had an organ-preserving operation, pancreatitis was registered in only 2 cases (4,3%). Thus, spleen-preserving operations allow to decrease the frequency of postoperative pancreatitis. Method of the reversible spleen mobilization increases the possibilities of the organ-preserving treatment in case of hard-to-reach ruptures.
Alekseev
V S
VS
Katanov
E S
ES
Alekseev
S V
SV
D000007:Abdominal Injuries / Q000601:surgery*; D000328:Adult; D002648:Child; D006801:Humans; D015994:Incidence; D019283:Pancreatitis, Acute Necrotizing / Q000453:epidemiology / Q000209:etiology*; D011183:Postoperative Complications; D012426:Russia / Q000453:epidemiology; D013154:Spleen / Q000293:injuries* / Q000601:surgery; D013156:Splenectomy / Q000009:adverse effects*; D014949:Wounds, Nonpenetrating / Q000601:surgery*