ABSTRACT
In this paper the authors present a histopathological study concerning the restant pancreas after cephalic duodenopancreatectomy for 3 cases that had a lethal outcome. In this 3 cases was performed hte cephalic duodenopancreatectomy with Child montage. This study showed that at the level of the restant pancreas it develops a progressive atrophy of the exocrine pancreatic tissue.
Subject(s)
Pancreas/pathology , Pancreaticoduodenectomy , Adult , Atrophy/pathology , Emergencies , Fatal Outcome , Female , Humans , Male , Pancreas/injuries , Pancreatic Neoplasms/pathology , Pancreatic Neoplasms/surgery , Reoperation , Time FactorsABSTRACT
In this paper the authors present a study of pancreatic fistula after cephalic duodenopancreatectomy concerning the incidence, importance and the therapeutic features in a number of 37 patients operated between 1.Jan.1990-1.Jan. 1997 at the 1st Department of Surgery of Clinical County Hospital of Târgu-Mures. A number of 8 patients (22%) had pancreatic fistula; a half of them were treated by surgical reintervention, and the second half by conservative procedures.
Subject(s)
Pancreatic Fistula/etiology , Pancreaticoduodenectomy/methods , Postoperative Complications/etiology , Adult , Aged , Anastomosis, Surgical/methods , Combined Modality Therapy , Humans , Incidence , Middle Aged , Pancreatic Fistula/epidemiology , Pancreatic Fistula/therapy , Postoperative Complications/epidemiology , Postoperative Complications/therapy , Reoperation , Romania/epidemiologyABSTRACT
The files were studied of 362 patients hospitalized in the Surgical Clinic from Tg. Mures in the last 20 years with various primary or secondary pancreatic affections, and for whom curative, palliative or exploratory surgery was indicated. Of the total 307 had pancreatic cancers, 16 had Vater ampulomas, 23 had gastric cancers, and 5 had primary duodenal tumours. In six patients pseudotumoral chronic pancreatitis was found, 2 had retroperitoneal tumours, and 3 had pancreatic cysts, lymphoma of the spleen, and mesenteric tumour. A total of 212 palliative surgical interventions were performed, 75 radical interventions (pancreatic reactions), and in another 75 patients simple laparotomies were done. In 45 of the pancreatic resections the duodenum was also removed. The other 30 cases included 6 total resections, 6 subtotal pancreatic resections and 18 resections of the left part of the pancreas.
