[The distal pancreatic stump extirpation on the reason of profuse arrosive intraabdominal bleeding]

Khirurgiia (Mosk). 2012:(11):4-7.
[Article in Russian]

Abstract

11 patients with profuse arrosive intraabdominal bleeding after pancreatic resections were operated on the reason of pancreatic tumor. 9 patients had pancreatoduodenal resections (of the 6 pyloruspreserving), 2 patients had middle pancreatic resections. Bleeding was caused by postoperative pancreonecrosis and suture insufficiency in all cases. The source of bleeding were: vena porta, upper mesenteric and splenic veins, upper mesenteric and common hepatic arteries. 3 patients were relaparotomyzed and the vessel wall was sutured. Nevertheless, they died after bleeding recurrence within 2-3 days. The extirpation of the distal pancreatic stump was performed in 8 patients. Of them 3 patients died of multyorgan failure. The experience permits to consider the distal pancreatic stump the operation of choice by postoperative profuse bleeding.

Publication types

  • English Abstract

MeSH terms

  • Aged
  • Female
  • Humans
  • Male
  • Middle Aged
  • Necrosis* / etiology
  • Necrosis* / physiopathology
  • Necrosis* / surgery
  • Pancreas* / pathology
  • Pancreas* / surgery
  • Pancreatectomy / adverse effects*
  • Pancreatectomy / methods
  • Pancreatectomy / mortality
  • Pancreatic Diseases / physiopathology
  • Pancreatic Diseases / surgery*
  • Postoperative Hemorrhage* / mortality
  • Postoperative Hemorrhage* / physiopathology
  • Postoperative Hemorrhage* / surgery
  • Postoperative Period
  • Reoperation / methods
  • Survival Rate
  • Time Factors
  • Treatment Outcome