Academic Journal

Emergency Pancreatoduodenectomy: A Non-Trauma Center Case Series

التفاصيل البيبلوغرافية
العنوان: Emergency Pancreatoduodenectomy: A Non-Trauma Center Case Series
المؤلفون: Diana Schlanger, Călin Popa, Andra Ciocan, Cornelia Șofron, Nadim Al Hajjar
المصدر: Journal of Clinical Medicine; Volume 11; Issue 10; Pages: 2891
بيانات النشر: Multidisciplinary Digital Publishing Institute
سنة النشر: 2022
المجموعة: MDPI Open Access Publishing
مصطلحات موضوعية: emergency pancreatoduodenectomy, emergency surgery, pancreatic surgery
الوصف: (1) Background: Emergency pancreatoduodenectomy (EPD) is a rare procedure, especially in non-trauma centers. Pancreatoduodenectomy is a challenging intervention, that has even higher risks in emergency settings. However, EPD can be a life-saving procedure in selected cases. (2) Methods: Our study is a single-center prospective consecutive case series, on patients that underwent emergency pancreatoduodenectomies in our surgical department between January 2014 to May 2021. (3) Results: In the 7-year period, 4 cases were operated in emergency settings, out of the 615 patients who underwent PD (0.65%). All patients were male, with ages between 44 and 65. Uncontrollable bleeding was the indication for surgery in 3 cases, while a complex postoperative complication was the reason for surgery in one other case. In three cases, a classical Whipple procedure was performed, and only one case had a pylorus-preserving pancreatoduodenectomy. The in-hospital mortality rate was 25% and the morbidity rate was 50%; the two patients that registered complications also needed reinterventions. The patients who were discharged had a good long-term survival. (4) Conclusion: EPD is a challenging procedure, rare encountered in non-traumatic cases, that can be a life-saving intervention in well-selected cases, offering good long-term survival.
نوع الوثيقة: text
وصف الملف: application/pdf
اللغة: English
Relation: Gastroenterology & Hepatopancreatobiliary Medicine; https://dx.doi.org/10.3390/jcm11102891
DOI: 10.3390/jcm11102891
الاتاحة: https://doi.org/10.3390/jcm11102891
Rights: https://creativecommons.org/licenses/by/4.0/
رقم الانضمام: edsbas.F78F53E6
قاعدة البيانات: BASE