摘要
一个 34 岁的人在一个汽车事故以后与复杂钝 pancreaticoduodenal 损害承认了到我们的部门。十二指肠的第一，第二，和第三部分的墙广泛地被撕碎，并且胰是沿着优异 mesenteric 静脉门静脉后备箱的纵 transected。胰腺的头和钩形的过程被使衰弱，远侧的普通胆汁管和近似的主要的胰腺的管完全从 Vater 两耳细颈瓶被分开。在残余胰的切割表面定位的远侧的普通胆汁的树桩的长度是约 0.6  ；厘米。一个简化 Kausch-Whipple’s 过程在远侧的普通胆汁管和胰腺的残余的树桩在被嵌进 jejunal 环的损坏十二指肠的使衰弱的胰腺的头和切除术的清创术以后被执行。手术后的创伤脓肿出现了那最后由保守治疗恢复了。在 16 月后续期间，病人稳定、健康。简化 pancreaticoduodenectomy 是为在在一个血液动力学地稳定的病人管理复杂 pancreaticoduodenal 损害的惠普尔过程的一种安全选择。
A 34-year-old man admitted to our de- partment with complex blunt pancreaticoduodenal injury af- ter a car accident. The wall of the first, second, and third portions of the duodenum was extensively lacerated, and the pancreas was longitudinally transected along the supe- rior mesenteric vein-portal vein trunk. The pancreatic head and the uncinate process were devitalized and the distal common bile duct and the proximal main pancreatic duct were completely detached from the Vater ampulla. The length of the stump of distal common bile located at the cut surface of remnant pancreas was approximately 0.6 cm. A simplified Kausch-Whipple＇s procedure was performed after debride- ment of the devitalized pancreatic head and resection of the damaged duodenum in which the stump of distal common bile duct and the pancreatic remnant were embedded into the jejunal loop. Postoperative wound abscess appeared that eventually recovered by conservative treatment. Dur- ing 16 months follow-up the patient has been stable and healthy. A simplified pancreaticoduodenectomy is a safe alternative for the Whipple procedure in managing complex pancreaticoduodenal injury in a hemodynamically stable patient.
