Oreskovich M R, Carrico C J
Am J Surg. 1984 May;147(5):618-23. doi: 10.1016/0002-9610(84)90126-0.
Over a 6 year period, 10 patients underwent pancreaticoduodenectomy for trauma. This was reserved for proximal pancreatic duct or ampulla injuries at locations that precluded reconstruction and combined devascularization injuries of the pancreas and duodenum. This was thought to be the most conservative indication for the procedure. All patients are alive an average of 3.5 years after injury, and only two continue to require some form of long-term medical therapy. Ninety percent of the patients have returned to functional activity. When confined to strict criteria for resection, pancreaticoduodenectomy is a viable option. The long-term complications of this procedure are minimal and can be well controlled.
在6年的时间里，10例患者因创伤接受了胰十二指肠切除术。该手术适用于胰腺近端导管或壶腹损伤，这些损伤位于无法进行重建的部位，以及胰腺和十二指肠合并的血管离断伤。这被认为是该手术最保守的适应证。所有患者在受伤后平均存活3.5年，只有2例仍需要某种形式的长期药物治疗。90%的患者已恢复正常功能活动。当严格遵循切除标准时，胰十二指肠切除术是一种可行的选择。该手术的长期并发症极少，且能得到很好的控制。
