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Simplified pancreatoduodenectomy for complex blunt pancreaticoduodenal injury

Authors :
FENG Xin-fu
FAN Wei
SHI Cheng-xian
LI Jun-hua
LIU Jun
LIU Zhen-hua
Source :
Chinese Journal of Traumatology, Vol 16, Iss 5, Pp 311-313 (2013)
Publication Year :
2013
Publisher :
Elsevier, 2013.

Abstract

【Abstract】A 34-year-old man admitted to our department with complex blunt pancreaticoduodenal injury after a car accident. The wall of the first, second, and third portions of the duodenum was extensively lacerated, and the pancreas was longitudinally transected along the superior mesenteric vein-portal vein trunk. The pancreatic head and the uncinate process were devitalized and the distal common bile duct and the proximal main pancreatic duct were completely detached from the Vater ampulla. The length of the stump of distal common bile located at the cut surface of remnant pancreas was approximately 0.6 cm. A simplified Kausch-Whipple’s procedure was performed after debridement of the devitalized pancreatic head and resection of the damaged duodenum in which the stump of distal common bile duct and the pancreatic remnant were embedded into the jejunal loop. Postoperative wound abscess appeared that eventually recovered by conservative treatment. During 16 months follow-up the patient has been stable and healthy. A simplified pancreaticoduodenectomy is a safe alternative for the Whipple procedure in managing complex pancreaticoduodenal injury in a hemodynamically stable patient. Key words: Pancreaticoduodenectomy; Abdominal injuries; Pancreas; Duodenum

Subjects

Subjects :
Medicine (General)
R5-920

Details

Language :
English
ISSN :
10081275
Volume :
16
Issue :
5
Database :
Directory of Open Access Journals
Journal :
Chinese Journal of Traumatology
Publication Type :
Academic Journal
Accession number :
edsdoj.47b4f6c4c8447e8a33e4c66b7fd1274
Document Type :
article