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Management of post-pancreatectomy haemorrhage using resuscitative endovascular balloon occlusion of the aorta.

作者信息

Singh Gurkirat, Nahm Christopher B, Jamieson Nigel B, Chua Terence C, Wong Shen, Thoo Cathy, Mittal Anubhav, Gill Anthony J, Samra Jaswinder S

机构信息

Upper Gastrointestinal Surgical Unit, Royal North Shore Hospital, Sydney, Australia.

School of Medicine, Dentistry and Nursing, University of Glasgow, Glasgow, Scotland.

出版信息

Langenbecks Arch Surg. 2019 Mar;404(2):253-255. doi: 10.1007/s00423-019-01759-0. Epub 2019 Feb 13.

DOI:10.1007/s00423-019-01759-0
PMID:30758668
Abstract

BACKGROUND

Delayed massive post-pancreatectomy haemorrhage (PPH) is a highly lethal complication after pancreatectomy. Angiographic procedures have led to improved outcomes in the management of these patients. In the setting of an acute haemorrhage, laparotomy and packing are often required to help stablise the patient. However, re-operative surgery in the post-pancreatectomy setting is technically challenging.

METHODS

A novel strategy of incorporating the resuscitative endovascular balloon occlusion of the aorta (REBOA) is described.

RESULTS

Two patients where the specific application of this technique uses the REBOA were described.

CONCLUSION

The REBOA serves as a useful adjunct in haemorrhage control and haemodynamic stablisation to allow successful management of delayed massive PPH.

摘要

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本文引用的文献

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J Trauma Acute Care Surg. 2018 Sep;85(3):507-511. doi: 10.1097/TA.0000000000002004.
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Management of clinically relevant postpancreatectomy hemorrhage (PPH) over two decades - A comparative study of 1 450 consecutive patients undergoing pancreatic resection.二十多年来临床相关胰切除术后出血（PPH）的处理 - 1450 例胰腺切除术患者的对比研究。
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异物吸入致三重性胸部损伤：1 例罕见病例的处理新方法。
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术后胰瘘：我们需要重新定义B级和C级。
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Pancreas. 2015 Aug;44(6):953-8. doi: 10.1097/MPA.0000000000000347.
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Peripancreatic pseudoaneurysms: a management-based classification system.胰周假性动脉瘤：一种基于管理的分类系统。
Surg Endosc. 2014 Jul;28(7):2027-38. doi: 10.1007/s00464-014-3434-9. Epub 2014 Feb 12.
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J Gastrointest Surg. 2014 Mar;18(3):464-75. doi: 10.1007/s11605-013-2437-5. Epub 2014 Jan 22.
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Postpancreatectomy hemorrhage: diagnosis and treatment: an analysis in 1669 consecutive pancreatic resections.胰十二指肠切除术后出血：诊断与治疗：对1669例连续胰十二指肠切除术的分析
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