Drenden Ölçülen Amilaz Değerleri Acil Splenektomi Sonrası İyatrojenik Pankreas Yaralanmasına Sekonder Pankreatik Fistül Gelişimini Öngörmede Faydalı mıdır?

Amaç: Künt/delici-kesici dalak travmalarının cerrahi tedavisinde splenektomi, hayat kurtarıcı olduğu ölçüde çeşitli komplikasyonları da beraberinde getiren major bir cerrahi girişimdir. Kullanılan cerrahi teknik açısından son derece standardize edilmiş bir prosedür olmakla beraber özellikle dalak hilusunun diseksiyonu ve bağlanması esnasında pankreas kuyruk yaralanmaları da görülebilmektedir. Bu çalışmada dalak hilus diseksiyonu sırasında iatrojenik pankreas yaralanması şüphesi durumunda serum ve dren amilaz değerlerninin pankreatik kaçak/fistül oluşumunu öngörmedeki başarısı incelendi.

Anahtar Kelimeler:

splenektomi, pankreas yaralanması, amilaz

ARE DRAIN FLUID AMYLASE LEVELS HELPFUL ON SECREENING PANCREATIC FISTULA SECONDARY TO PANCREATIC INJURY DURING EMERGENCY SPLENECTOMY?

Objective: Splenectomy is a major surgical intervention that brings several complications as well as saving life in the surgical treatment of blunt/penetrating spleen trauma. Although it is a highly standardized procedure in terms of the surgical technique used, pancreatic tail injuries can also be observed, especially during dissection and ligation of the splenic hilum. In this study, we investigated the possible helpful effects of the amylase levels of serum and drainage fluid when there was suspicion for pancreatic injury during splenic hilum dissection.

Keywords:

splenectomy, pancreatic injury, amylase,

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