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《Chinese Journal of Practical Surgery》 2005-09
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The treatment and prevention of the iatrogenic arterial injury in Pancreaticoduodenectomy

Peng Chenghong,Cheng Dongfeng,Shen Baiyong,et al.Center of the Organ Transplantation and Department of Surgery,Shanghai Institute of Digestive Surgery,Ruijin Hospital,Shanghai Second Medical University,Shanghai 200025,China  
Objective To explore the causes,prevention and treatment of iatrogenic arterial injury in Pancreaticoduodenectomy.Methods The clinical data of 5 cases of iatrogenic were retrospectively analyzed.Results All patients recovered uneventfully.After iatrogenic arterial injury,the bleeding volume increased signifcantly (P=0.0302),the operative time (P=0.0076) and the days of hospitalization(P=0.0080) were delayed obviously,and the medical expenses increased significantly (P=0.0040).Conclusion The prevention of the iatrogenic arterial injury is more important than the treatment.The correct treatment in operation after iatrogenic arterial injury is the key to avoid aggravating the arterial injury.Surgical repair should firstly insure the inner membrane of the injured artery to be smooth and straightway.
【CateGory Index】: R656;
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