Approccio diagnostico e terapeutico al trauma pancreatico

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Maria Vidali*, George Doulgerakis*, Nicolas Condilis**, Eleni Karmiri, Ihon Poygouras*, George Papaioannoy*, Christos Ioannoy*, Stefanos Pierrakakis*, Nicolas Setakis

Ann. Ital. Chir., 2005; 76: 247-250

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INTRODUCTION: The pancreatic trauma is rare, compared with the injuries of the other abdominal organs and occurs
in 0.2-6 per cent of the cases of abdominal trauma.
AIM OF THE STUDY: The aim of this essay is to demonstrate the Authors’ experience in the treatment of five cases of
pancreatic injury during the last five years, as well as to retrospect the contemporary bibliography, connected with the
diagnostic and curative approach of the pancreatic trauma. The diagnosis of the pancreatic trauma is difficult and many
times, late. In their experience of pancreatic trauma, the Authors ascertained the pancreatic injury during the laparotomy
which was made in order to treat other abdominal injuries.
MTERIAL AND MAETHODS: The surgical techniques were chosen taking into account the extent of the injury, the detection
and the existence of accompanying. Marginal resection of pancreas, splenectomy and drainage were applied to three
patients, suture of the pancreas and drainage to one patient, drainage alone and treatment of synchronous rupture of
the duodenum to one patient.
RESULTS: The mortality was 0%. Came whereas the morbidity came basically on the seriousness of the accompanying
injuries.

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