Traumatic pancreatic injuries

被引：6

作者：

Arvieux, C ^{[1
]}

Létoublon, C ^{[1
]}

机构：

[1] Ctr Hosp Univ A Michallon, Dept Chirurg Digest & Urgence, F-38043 Grenoble, France

来源：

ANNALES DE CHIRURGIE | 2005年 / 130卷 / 03期

关键词：

injury of the pancreas; pancreatic pseudocyst; pancreatoduodenectomy; distal pancreatectomy; magnetic resonance cholangiopancreatography; endoscopic retrograde cholangiopancreatography;

D O I：

10.1016/j.anchir.2005.02.002

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

If an emergency laparotomy is necessary, a damage control laparotomy may be useful. If during the laparotomy the hemodynamic is stabilised, the severity is depending on the existence of a ductal injury and an associated duodenal lesion. Surgical indications and techniques are described in these different cases. If no laparotomy, the location and type of injury is assessed by CT scan, magnetic resonance cholangiopancreatography or ERCP. Injury of the pancreatic duct is the main part of prognosis and indications. The non operative treatment in case of ductal injury remains controversial. (c) 2005 Elsevier SAS. Tous droits reserves.

引用

页码：190 / 198

页数：9

共 8 条

[1]

Arvieux C, 2000, J CHIR-PARIS, V137, P133

[2]

ARVIEUX C, 2004, ENCY MEDICOCHIRURGIC

[3] Evolution in damage control for exsanguinating penetrating abdominal injury [J].

Johnson, JW ;

Gracias, VH ;

Schwab, CW ;

Reilly, PM ;

Kauder, DR ;

Shapiro, MB ;

Dabrowski, GP ;

Rotondo, MF .

JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 2001, 51 (02) :261-271

[4] Nonoperative management of complex hepatic injuries [J].

Létoublon, C .

ANNALES DE CHIRURGIE, 2005, 130 (02) :60-62

[5]

LUCAS CE, 1977, SURG CLIN N AM, V57, P49

[6] Pancreatic stent placement for duct disruption [J].

Telford, JJ ;

Farrell, JJ ;

Saltzman, JR ;

Shields, SJ ;

Banks, PA ;

Lichtenstein, DR ;

Johannes, RS ;

Kelsey, PB ;

Carr-Locke, DL .

GASTROINTESTINAL ENDOSCOPY, 2002, 56 (01) :18-24

[7] Emergency pancreaticoduodenectomy with delayed reconstruction for bleeding - A life saving procedure [J].

Tuech, JJ ;

Pessaux, P ;

Regenet, N ;

Bergamaschi, R ;

Arnaud, JP .

INTERNATIONAL JOURNAL OF PANCREATOLOGY, 2001, 29 (01) :59-62

[8] Blunt pancreatic fractures. [J].

Zerbib, P ;

Brams, A ;

Chambon, JP .

ANNALES DE CHIRURGIE, 2001, 126 (05) :421-426

← 1 →