PANCREAS PRESERVING SURGERY IN TRAUMATIC COMPLETE PANCREAS TRANSECTION: A CASE SERIES | ||||
| The Egyptian Journal of Surgery | ||||
| Volume 32, Issue 1, January 2013, Page 25-31 PDF (645.6 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ejsur.2013.366752 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
| Ayman M. A. Ali* 1; Mohammad A. Abusedera2 | ||||
| 1General Surgery Department, Sohag Faculty of Medicine, Egypt | ||||
| 2Radiology Department, Sohag Faculty of Medicine, Egypt | ||||
| Abstract | ||||
| Background: Pancreatic trauma constitutes a great challenge both in diagnosis and in management especially complex injuries involving the main pancreatic duct. We aimed at evaluation of outcome of pancreaticogastrostomy (PG) as an alternative to distal pancreatectomy or pancreaticojejunostomy (PJ) for management of complete pancreas transection in children. Patients and Methods: This is a retrospective analysis performed from January 2001 to October 2012 including children presented to the Trauma department of Sohag University Hospital with complete pancreas transection at the neck or central body after blunt trauma managed with distal stump PG. Results: Seven cases of complete pancreas transection injuries were managed with pancreas salvage operation with two major complications; pancreatic fistula (PF) occurred in one patient which was transient and one case with intraabdominal abscess treated with percutaneous drainage. Short term follow-up showed no pancreatic insufficiency. In-hospital mortality occurred in 1 patient. Long-term outcome could not be assessed. Conclusion: PG is a good alternative to distal pancreatectomy when dealing with major pancreatic injury especially in children if the patient is hemodynamically stable and the surgeon has the experience in pancreatic surgery. | ||||
| Keywords | ||||
| Blunt pancreatic injury; Pancreatic fistula; Abdominal injuries; Organ preservation; Pancreatic anastomosis | ||||
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