Management of traumatic complete pancreatic fracture in a child: case report and review of literature
E Leva, C Huscher, H Rode, G Fava… - … & Advanced Surgical …, 2008 - liebertpub.com
E Leva, C Huscher, H Rode, G Fava, M Napolitano, L Maestri, A Pansini, E Cocozza…
Journal of Laparoendoscopic & Advanced Surgical Techniques, 2008•liebertpub.comBlunt 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 …
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 …
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.
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