Abstract

Thirty-eigth patients who underwent pancreatic surgery other than Whipple procedure, at Department of General Surgery, Atatürk University, School of Medicine Erzurum between Jonuary 1991 and May 2001 were reviewed with respect to mortality, morbidity rate, and the result of different treatment modalities. Of the patients, 18 were man and the mean age was 42.1 (11-75 yeras). Routine laboratory test, USG, CT, endoscopy and other diagnostic procedures were used to confirm the diagnosis. In the five of eleven patients who were operated for blunt and penetran abdominal injuries, pancreatic laceration was observed and debridement and hemostasis were performed. In four of these patients peripancreatic drainage was made for pancreatic contusion and two had distal pancreatectomy for pancreatic laceration. In one patient who was operated under emergent circumtances for pancreatic cyst perforation, depridman and drenage were performed. In two patients with pancreatic fistula, Roux-en Y fistulojejunostomy was performed. Roux-en Y cystojejunostomy was performed in 11 patients, cyst drainage in 2 patients, and cystoduodenostomy in 1 patient who had pancreatic pseudocyst. Distal pancreatectomy was performed in 5 patients with pancreatic mass (2 in bady, 3 in tail) and in 3 patients who had invasion of the pancreas due to gastrointestinal cancer and one patient undervent wedge resection because of invasion of hepatic carcinoma. One patient undervent enucleation for pancreatic insulinoma. Infection was seen in 8 patients, evisceration in one, and pancreatic fistula in one patient.