Forni E, Borri A M, Clerico D, Voltolini F
Chir Ital. 1983 Apr;35(2):193-203.
Twenty patients were operated on for pancreatic trauma from 1960 to 1980. 8 (40%), without ductal lesions, were treated by drainage alone; 4 (20%) by distal resection; 3 (15%) by duodenal diversion; 1 by pancreatoduodenectomy and 1 by an anterior Roux-en-Y pancreatojejunostomy. Penrose and sump drains was used in all patients. Mortality rate was 20% (4 p.). Pancreas related complications occurred in 7 p. (35%). Particular emphasis is placed on general principles of management of pancreatic injuries to decrease mortality and morbidity.
1960年至1980年间,20例患者接受了胰腺创伤手术。8例(40%)无导管损伤,仅行引流治疗;4例(20%)行远端切除术;3例(15%)行十二指肠转流术;1例行胰十二指肠切除术,1例行Roux-en-Y式胰空肠吻合术。所有患者均使用了彭罗斯引流管和烟卷引流管。死亡率为20%(4例)。胰腺相关并发症发生在7例(35%)患者中。特别强调胰腺损伤的一般处理原则,以降低死亡率和发病率。