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SM ISO690:2012 HOTINEANU, Adrian, BURGOCI, Serghei, TIMIŞ, Tudor, CAZAC, Anatol. Duodenopancreatectomia cefalică de urgență. experiența unui singur non-trauma centru . In: Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu”, 21-23 octombrie 2020, Chişinău. Chişinău: USMF, 2020, p. 415. |
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Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu” 2020 | |||||||
Congresul "Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu”" Chişinău, Moldova, 21-23 octombrie 2020 | |||||||
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Pag. 415-415 | |||||||
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Background. Emergency pancreaticoduodenectomy is a complex procedure, it aims to save the patient and at the same time becomes a definitive method in treating the basic pathology (hemorrhage, perforation). Objective of the study. Analysis of the experience of a non-trauma center in emergency pancreaticoduodenectomy. Justification of the risk of this procedure according to the immediate and late postoperative results. Material and Methods. Emergency pancreaticoduodenectomy was performed in 4 patients. Indications for surgical treatment were: massive hemorrhage from the cephalopancreatic pseudocyst, hemorrhage from the varicose veins of the duodenum, the third patient suffered from colon cancer complicated by invasion of the duodenum the fourth patient with mechanical jaundice in which post-ERCP developed duodenal perforation. Results. The postoperative morbidity of 80% was caused by a severe preoperative condition caused by hemorrhage, sepsis, hydro-electrolytic disorders. But instead, zero mortality was obtained in these 4 patients. Hospitalization period 12-30 days. Conclusion. Emergency pancreaticoduodenectomy may be considered in patients in whom other manipulations become unnecessary and this procedure remains the only possibility of treatment. It can be justified, when approached, preferentially, by surgeons experienced in pancreatic surgery. |
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Cuvinte-cheie emergency pancreaticoduodenectomy, bleeding and perforation, duodenopancreatectomie cefalică de urgență, hemoragie și perforație |
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