Full-Text Search:
Home|Journal Papers|About CNKI|User Service|FAQ|Contact Us|中文
《Journal of Abdominal Surgery》 2005-03
Add to Favorite Get Latest Update

Prevention and treatment of iatrogenic duodenum injury

SHEN Xiong-shan, LI Wei-min, HU Han-hua, et al. Department of General Surgery, Xiaogan Central Hospital, Xiaogan 432100, China  
Objective To investigate the occurrence and treatments of iatrogenic duodenum injury. Methods The causes, management and the therapeutic effectiveness of 15 cases of iatrogenic duodenum injuries from Jan. 1995 to Dec. 2004 were analyzed.Results In 15 patients with iatrogenic duodenum injuries, there were 6 cases of duodenum's laceration in cholecystectomy, 3 cases of duodenum's penetrating wound in choledocholithotomy, 4 cases of duodenum's laceration in the second biliary passage operation and 2 cases of duodenum's laceration in radical colectomy. Twelve cases only received single suture repair, 3 T-tube drainage and duodenum repair. Among 3 cases of duodeno-leaks happened after the operations, 2 cases were cured and one died.Conclusion Strengthening surgeons' responsibilities and improving the quality of surgeries is the key to prevent iatrogenic duodenum injury. Under the condition of valid decompression in duodenum and drainage in abdominal cavity, the majority of iatrogenic duodenum injuries can be cured by single suture repair.
【Key Words】: Duodenum Physician impairment
【CateGory Index】: R656.64
Download(CAJ format) Download(PDF format)
CAJViewer7.0 supports all the CNKI file formats; AdobeReader only supports the PDF format.
【Citations】
Chinese Journal Full-text Database 1 Hits
1 TIAN Chengwu, ZHU Huawen, QU Ming, et al. Department of General Surgery. 107th Center Hospital of PLA, Yantai 264002, China;The clinical analysis of the duodenal rupture: report of 16 cases[J];Journal of Abdominal Surgery;2002-02
【Co-citations】
Chinese Journal Full-text Database 3 Hits
1 LI Yu-liang,MENG Shu-hong,PENG Jin-jun(Department of General Surgery,The Chinese Medical Hospital of Luohe,Luohe 462000,Henan,China);Early Diagnosis and Surgical Strategy of Closed Duodenal Injury[J];Chinese Journal of Modern Operative Surgery;2006-04
2 Xie Chuan-renChangping Hospital, Dongguan City, Guangdong Province 523573 PRC;EARLY DIAGNOSIS AND TREATMENT OF TRAUMATIC RUPTURE OF DUODENUM[J];Modern Hospital;2005-10
3 LI Feng,ZHU Rongtao.Department of General Surgery,Center Hospital of Zhoukou City,Zhoukou 466000, CHINA;Early diagnosis of traumatic rupture of retroperitoneal duodenum[J];Jiangsu Medical Journal;2009-05
【Co-references】
Chinese Journal Full-text Database 2 Hits
1 Institute of General Surgery,Nanjing Military General Hospital,Nanjing 210002,China;Discussion of the suitable management and preventive methods for distal choledo-duodonum fistulas.[J];Chinese Journal of Practical Surgery;2003-01
2 Zheng Kai, Wang Chengyou, Zhen Wetao and Tong Jianmeng Department of General Surgery, Shenzhen Red Cross Hospital, Shenzhen 518026;The choice of surgical management for the patients with duodenal injury[J];CHINESE JOURNAL OF GENERAL SURGERY;1999-04
【Secondary Citations】
Chinese Journal Full-text Database 1 Hits
1 BaiGang,MaYuangui.GeneralNavalHospital,People'sLiberationArmy,Beijing100037.;Thetherapeuticeffectofsomatostatinonacuteseverepancreatitis:aclinicalcontrastiveobservation[J];Chiese Journal of Surgery;1996-08
©2006 Tsinghua Tongfang Knowledge Network Technology Co., Ltd.(Beijing)(TTKN) All rights reserved