Management of traumatic complete pancreatic fracture in a child: Case report and review of literature
Articolo
Data di Pubblicazione:
2008
Citazione:
Management of traumatic complete pancreatic fracture in a child: Case report and review of literature / E. Leva, C. Huscher, H. Rode, G. Fava, M. Napolitano, L. Maestri, A. Pansini, E. Cocozza, A. Numanoglu, A. Prada, G. Sortino, L. Pansini. - In: JOURNAL OF LAPAROENDOSCOPIC & ADVANCED SURGICAL TECHNIQUES. - ISSN 1092-6429. - 18:2(2008), pp. 321-323. [10.1089/lap.2007.0103]
Abstract:
Blunt abdominal trauma is the most common cause of pancreatic injury in children. Laparoscopic distal pancreatectomy in a child with complete duct disruption has not been reported in the literature in children, although it has been well described in adults. Methods: In this paper report a case of a 7-year-old male, with grade 4 pancreatic trauma, who was treated nonoperatively in the acute phase and subsequently by laparoscopic distal pancreatectomy 3 months after the trauma. Discussion: Although in adults the surgical management of grade 3-4 pancreatic traumatic injury is well described, including the laparoscopic approach, no report of laparoscopic distal pancreatectomy was found in the literature. We would like to emphasize the importance of using a conservative management in the acute phase of pancreatic injury, including grade 4 injuries. After this phase, the use of the high-definition computed tomography scan and endoscopic retrograde pancreatography were fundamental. Conclusion: Magnification of laparoscopic technique allowed us to identify the structures much better than open surgery.
Tipologia IRIS:
01 - Articolo su periodico
Elenco autori:
E. Leva, C. Huscher, H. Rode, G. Fava, M. Napolitano, L. Maestri, A. Pansini, E. Cocozza, A. Numanoglu, A. Prada, G. Sortino, L. Pansini
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