title: [The distal pancreatic stump extirpation on the reason of profuse arrosive intraabdominal bleeding].
abstract: 11 patients with profuse arrosive intraabdominal bleeding after pancreatic resections were operated on the reason of pancreatic tumor. 9 patients had pancreatoduodenal resections (of the 6 pyloruspreserving), 2 patients had middle pancreatic resections. Bleeding was caused by postoperative pancreonecrosis and suture insufficiency in all cases. The source of bleeding were: vena porta, upper mesenteric and splenic veins, upper mesenteric and common hepatic arteries. 3 patients were relaparotomyzed and the vessel wall was sutured. Nevertheless, they died after bleeding recurrence within 2-3 days. The extirpation of the distal pancreatic stump was performed in 8 patients. Of them 3 patients died of multyorgan failure. The experience permits to consider the distal pancreatic stump the operation of choice by postoperative profuse bleeding.
authors.forename: V A
authors.initials: VA
authors.lastname: Kubyshkin
authors.forename: A G
authors.initials: AG
authors.lastname: Kriger
authors.forename: V A
authors.initials: VA
authors.lastname: Vishnevskiĭ
authors.forename: D S
authors.initials: DS
authors.lastname: Gorin
authors.forename: A N
authors.initials: AN
authors.lastname: Lebedeva
authors.forename: S O
authors.initials: SO
authors.lastname: Zagagov
authors.forename: E A
authors.initials: EA
authors.lastname: Akhtanin
mesh_terms: D000368:Aged; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009336:Necrosis / Q000209:etiology / Q000503:physiopathology / Q000601:surgery; D010179:Pancreas / Q000473:pathology / Q000601:surgery; D010180:Pancreatectomy / Q000009:adverse effects* / Q000379:methods / Q000401:mortality; D010182:Pancreatic Diseases / Q000503:physiopathology / Q000601:surgery*; D019106:Postoperative Hemorrhage / Q000401:mortality / Q000503:physiopathology / Q000601:surgery; D011184:Postoperative Period; D012086:Reoperation / Q000379:methods; D015996:Survival Rate; D013997:Time Factors; D016896:Treatment Outcome