Prévot J, de Miscault G, Schmitt M
Clinique chirurgicale infantile, Hôpital d'Enfants de Nancy, Vandoeuvre-les-Nancy.
Chirurgie. 1993;119(9):469-72.
A unanimous consensus has been achieved indicating the requirement of left pancreatectomy after complete ruptures of the body of the pancreas in the child. Nevertheless, exeresis of the entire left part of the pancreas has severe long-term consequences, especially if a small part of the gland is not left in place after the rupture. We report two cases of complete rupture of the isthma of the pancreas in two children who were treated by suture of the Wirsung and of the pancreas, followed by drainage. The drain dropped off early in both cases but did not hinder cicatrisation. Follow-up examinations were completely normal after a 12-year follow up in the first case and after 10 months in the second.
对于儿童胰腺体部完全破裂后需要进行左半胰切除术已达成一致共识。然而，切除胰腺的整个左半部分会产生严重的长期后果，尤其是在破裂后没有保留一小部分腺体的情况下。我们报告了两名儿童胰腺峡部完全破裂的病例，对其进行了维尔松氏管和胰腺缝合，随后进行引流治疗。两例患者的引流管均早期脱落，但未妨碍愈合。第一例患者在随访12年后以及第二例患者在随访10个月后，后续检查均完全正常。
