Ulus Travma Acil Cerrahi Derg. 2007; 13(4): 300-306

Pankreas yaralanmalarýnda sekiz yýllýk deneyimimiz

Kasým Çaðlayan, Neþet Köksal, Ender Onur, Ediz Altýnlý, Atilla Çelik, Aziz Sümer, M. Ali Uzun, Yusuf Günerhan
Haydarpaþa Numune Eðitim Ve Araþtýrma Hastanesi 2. Genel Cerrahi Kliniði, Ýstanbul

AMAÇ: Travmatik pankreas yaralanmasý nedeniyle ameliyat edilen hastalardaki morbidite ve mortalite ve bunlara etkili faktörler incelendi. GEREÇ-YÖNTEM: 1996-2004 tarihleri arasýnda travmatik pankreas yaralanmasý nedeniyle kliniðimizde ameliyat edilen 13 hasta (13 erkek; ort. yaþ 35,3; daðýlým 20-60) geriye dönük olarak incelendi. BULGULAR: On olguda penetran, üç olguda künt yaralanma mevcuttu. Olgularda yaralanmadan ameliyata kadar geçen süre ortalama 5,8 (1-48) saat idi. Mortalite üç olguda (%23) görüldü. Hayatýný kaybeden iki olguda büyük damar yaralanmasý mevcuttu. Ameliyat sonrasý en sýk görülen komplikasyon plevral efüzyon idi, iki hastada (%15) görüldü. SONUÇ: Morbidite ve mortalite büyük oranda yaralanmaya eþlik eden yandaþ organ yaralanmasý varlýðýyla iliþkili bulundu.

Anahtar Kelimeler: Ameliyat sonrasý komplikasyonlar/etyoloji, cerrahi yaklaþým; pankreas/morbidite ve mortalite/yaralanmalar; resüsitasyon/yöntem.

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Our eight years’ clinical experience in pancreatic injuries

Kasým Çaðlayan, Neþet Köksal, Ender Onur, Ediz Altýnlý, Atilla Çelik, Aziz Sümer, M. Ali Uzun, Yusuf Günerhan
2nd Department General Surgery, Haydarpafla Numune Tr A Ýning And Research Hospital, Istanbul, Turkey

BACKGROUND: We aimed to present the rates and causes of morbidity and mortality of the patients who were operated due to pancreatic trauma. METHODS: We studied retrospectively 13 patients (13 males; mean age 35.3; range 20 to 60 years) with pancreatic trauma who were to our emergency unit between 1996-2004. RESULTS: Ten patients had penetrating and three had blunt trauma. The avarage time between the admission to the emergency unit and the operation was 5.8 hours (1-48 hours). Mortality was 23% (three patients; two of them had major vascular injuries). The most prominent postoperative complication was pleural effusion which was seen in two patients (15%). CONCLUSION: It was recorded that mortality and morbidity were related in great part to the associated organ injury.

Keywords: Pancreas/injuries/morbidity and mortality, postoperative complications/etiology; resuscitation/methods; surgical procedure.

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ATIF KOPYALA