Khirurgiia · 2012
[The distal pancreatic stump extirpation on the reason of profuse arrosive intraabdominal bleeding].
Аннотация на английскомСтатьяНазвание и аннотация: Оригинал на русском
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Kubyshkin V A, Kriger A G, Vishnevskiĭ V A, Gorin D S, Lebedeva A N, Zagagov S O, Akhtanin E A
Аннотация
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.