PANKREAS VE DUODENUM YARALANMALARINDA PANKREATÝKODUODENEKTOMÝ

PANCREATICODUODENECTOMY IN THE MANAGEMENT OF PA.NCREATIC AND DUODENAL INJURIES

BACKGROUND: Patients who have undergone pancreaticoduodenectomy because of duodenopancreatic injury are retrospectively evaluated.
METHODS: Eight patients have undergone pancreaticoduodenectomy because of trauma in Ege University School of Medicine Department of Surgery. Six of the injuries were penetrating, and two of them were blunt. Six patients were male and two of them were female with a mean age of 29,2 (between 17 and 63).
RESULTS: All patients had complicated duodenopancreatic, and associated grade I and grade 11 liver injuries. Major vessels were injured in three patients. There were also two colonic, one gastric, and one jejunal injury as a coexisting pathology. Two patients were died because of sepsis. One patient had pancreatic, and one had biliary fistula, both healed spontaneously.
CONCLUSION: Pancreaticoduodenectomy should be practiced as a life-saving procedure in the management of severe duodenopancreatic trauma. Qualified centers with adequate experience have a higher success rate.