HPB : the official journal of the International Hepato Pancreato Biliary Association · 2025
Treatment of patients with pancreatic injuries during the war after Russian invasion of Ukraine.
СтатьяНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Usenko Oleksandr, Kopchak Volodymyr, Pererva Liudmyla, Khomiak Ihor, Shkarban Viktor, Tereshkevych Ivan, Trachuk Volodymyr, Kondratiuk Vitalii
Аннотация
BACKGROUND: Management of pancreas trauma is complex and not well understood. Pancreas injury associated with military trauma is associated with high morbidity and mortality. This study aims to analyze the results of surgical treatment of patients in a major HPB center with pancreatic injuries during the Ukraine conflict.
METHODS: Between 24 February 2022 to 31 December 2023, prospectively collected data on patients admitted to Department of Pancreatic and Bile Ducts Surgery in the Shalimov National Scientific Center of Surgery and Transplantology was collected into a database. Patients with pancreas trauma were scrutinized treatment patterns identified.
RESULTS: 48 patients with pancreatic trauma were admitted. Acute posttraumatic pancreatitis occurred in - 39 patients, 9 patients presented with a pancreatic fistula. Among patients with pancreatic injuries the following procedures were performed: EUS drainage of pancreatic fluid collection (PFC) 2/48, US guided percutaneous drainage 11/48, laparotomy and necrosectomy 7/48, EUS-guided pancreatonecrsecctomy with cystogastrostomy or with cystoduodenostomy 4/48. In 15 patients we performed cystojejunostomy, cystogastrostomy or cystoduodenostomy, in 9 patients - fistulopancreatojejunostomy. Mortality occurred in 2 (4.2 %) patients.
CONCLUSIONS: Personalized tactics of surgical treatment, preferring the use of minimally invasive techniques allow to achieve recovery in the treatment of severely wounded with pancreatic injuries.
METHODS: Between 24 February 2022 to 31 December 2023, prospectively collected data on patients admitted to Department of Pancreatic and Bile Ducts Surgery in the Shalimov National Scientific Center of Surgery and Transplantology was collected into a database. Patients with pancreas trauma were scrutinized treatment patterns identified.
RESULTS: 48 patients with pancreatic trauma were admitted. Acute posttraumatic pancreatitis occurred in - 39 patients, 9 patients presented with a pancreatic fistula. Among patients with pancreatic injuries the following procedures were performed: EUS drainage of pancreatic fluid collection (PFC) 2/48, US guided percutaneous drainage 11/48, laparotomy and necrosectomy 7/48, EUS-guided pancreatonecrsecctomy with cystogastrostomy or with cystoduodenostomy 4/48. In 15 patients we performed cystojejunostomy, cystogastrostomy or cystoduodenostomy, in 9 patients - fistulopancreatojejunostomy. Mortality occurred in 2 (4.2 %) patients.
CONCLUSIONS: Personalized tactics of surgical treatment, preferring the use of minimally invasive techniques allow to achieve recovery in the treatment of severely wounded with pancreatic injuries.