We report a successful case of pancreaticoduodenectomy (PD) after damage-control surgery (DCS) for an abdominal stab wound. A 44-year-old man who stabbed himself in the left upper abdomen with a 20-cm-long kitchen knife was transported to our hospital. He had a Glasgow Coma Scale (GCS) of E3 V4 M5, blood pressure of 60/40 mmHg, and heart rate of 143 beats/min, and underwent emergency surgery. The knife had penetrated through his stomach, duodenum, and transverse mesocolon, and reached the hilum of the right kidney, with pulsatile bleeding. As his vital signs suggested shock, emergency DCS was needed, which included nephrectomy, closure of the gastrointestinal tract, towel packing, and towel clip closure. The following day, PD was performed for the complex duodenal injury. The patient was discharged after 40 postoperative days.
"},{"@language":"ja","@value":"腹部刺創に対してDamage control surgery (DCS) 後に膵頭十二指腸切除術 (PD) を行い救命した1例を経験したので報告する. 症例は44歳男性, 自身で腹部を刃渡り20cmの包丁で刺したまま救急搬送となった. 来院時Glasgow Coma Scale (GCS) 12, E3V4M5, 血圧60/40mmHg, 脈拍143回/分とショック状態で緊急手術となった. 包丁は胃, 横行結腸間膜, 十二指腸を貫通し, 右腎門部に達し, 拍動性の出血をきたしていた. また回腸末端にも損傷を認めた. ショックバイタルでありDCSの方針として右腎摘出, 腸管の仮閉鎖, ガーゼパッキング, 仮閉腹とした. 翌日再開腹し, 複雑性十二指腸損傷のため, PDを施行し術後40日目で自宅退院となった.
"}],"abstractLicenseFlag":"disallow"}],"creator":[{"@id":"https://cir.nii.ac.jp/crid/1410846609794453633","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000406043678"}],"foaf:name":[{"@language":"en","@value":"MURATA Takaaki"},{"@language":"ja","@value":"村田 宇謙"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Surgery, Shonan Kamakura General Hospital"},{"@language":"ja","@value":"湘南鎌倉総合病院外科"}]},{"@id":"https://cir.nii.ac.jp/crid/1410846609794453635","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000406043681"}],"foaf:name":[{"@language":"en","@value":"KAWACHI Jun"},{"@language":"ja","@value":"河内 順"}],"jpcoar:affiliationName":[{"@language":"ja","@value":"湘南鎌倉総合病院外科"},{"@language":"en","@value":"Department of Surgery, Shonan Kamakura General Hospital"}]},{"@id":"https://cir.nii.ac.jp/crid/1410846609794453642","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000406043682"}],"foaf:name":[{"@language":"en","@value":"SAWAMURA Naoki"},{"@language":"ja","@value":"澤村 直輝"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Surgery, Shonan Kamakura General Hospital"},{"@language":"ja","@value":"湘南鎌倉総合病院外科"}]},{"@id":"https://cir.nii.ac.jp/crid/1410846609794453632","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000406043683"}],"foaf:name":[{"@language":"en","@value":"KUME Nao"},{"@language":"ja","@value":"久米 菜央"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Surgery, Shonan Kamakura General Hospital"},{"@language":"ja","@value":"湘南鎌倉総合病院外科"}]},{"@id":"https://cir.nii.ac.jp/crid/1410846609794453640","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000406043684"}],"foaf:name":[{"@language":"en","@value":"NISHIDA Tomoki"},{"@language":"ja","@value":"西田 智喜"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Surgery, Shonan Kamakura General Hospital"},{"@language":"ja","@value":"湘南鎌倉総合病院外科"}]},{"@id":"https://cir.nii.ac.jp/crid/1410846609794453634","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000406043685"}],"foaf:name":[{"@language":"en","@value":"MIYAKE Katunori"},{"@language":"ja","@value":"三宅 克典"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Surgery, Shonan Kamakura General Hospital"},{"@language":"ja","@value":"湘南鎌倉総合病院外科"}]},{"@id":"https://cir.nii.ac.jp/crid/1410846609794453637","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000406043686"}],"foaf:name":[{"@language":"en","@value":"ISOGAI Naoko"},{"@language":"ja","@value":"磯貝 尚子"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Surgery, Shonan Kamakura General Hospital"},{"@language":"ja","@value":"湘南鎌倉総合病院外科"}]},{"@id":"https://cir.nii.ac.jp/crid/1410846609794453639","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000406043687"}],"foaf:name":[{"@language":"en","@value":"FUKAI Ryuta"},{"@language":"ja","@value":"深井 隆太"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Surgery, Shonan Kamakura General Hospital"},{"@language":"ja","@value":"湘南鎌倉総合病院外科"}]},{"@id":"https://cir.nii.ac.jp/crid/1410846609794453638","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000406043688"}],"foaf:name":[{"@language":"en","@value":"SHIMOYAMA Rai"},{"@language":"ja","@value":"下山 ライ"}],"jpcoar:affiliationName":[{"@language":"ja","@value":"湘南鎌倉総合病院外科"},{"@language":"en","@value":"Department of Surgery, Shonan Kamakura General Hospital"}]},{"@id":"https://cir.nii.ac.jp/crid/1410846609794453641","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000406043679"}],"foaf:name":[{"@language":"en","@value":"KASHIWAGI Hiroyuki"},{"@language":"ja","@value":"柏木 宏之"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Surgery, Shonan Kamakura General Hospital"},{"@language":"ja","@value":"湘南鎌倉総合病院外科"}]},{"@id":"https://cir.nii.ac.jp/crid/1410846609794453636","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000406043680"}],"foaf:name":[{"@language":"en","@value":"SHINOZAKI Nobuaki"},{"@language":"ja","@value":"篠崎 伸明"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Surgery, Shonan Kamakura General Hospital"},{"@language":"ja","@value":"湘南鎌倉総合病院外科"}]}],"publication":{"publicationIdentifier":[{"@type":"PISSN","@value":"13406264"},{"@type":"LISSN","@value":"13406264"},{"@type":"EISSN","@value":"21880190"}],"prism:publicationName":[{"@language":"en","@value":"Journal of the Japanese Association for the Surgery of Trauma"},{"@language":"ja","@value":"日本外傷学会雑誌"},{"@language":"en","@value":"J. Jpn. Assoc. Surg. Trauma"},{"@language":"ja","@value":"日外傷会誌"}],"dc:publisher":[{"@language":"en","@value":"The Japanese Association for the Surgery of Trauma"},{"@language":"ja","@value":"一般社団法人 日本外傷学会"}],"prism:publicationDate":"2020-01-20","prism:volume":"34","prism:number":"1","prism:startingPage":"13","prism:endingPage":"16"},"url":[{"@id":"https://search.jamas.or.jp/link/ui/2020137951"}],"availableAt":"2020-01-20","foaf:topic":[{"@id":"https://cir.nii.ac.jp/all?q=%E8%86%B5%E9%A0%AD%E5%8D%81%E4%BA%8C%E6%8C%87%E8%85%B8%E5%88%87%E9%99%A4%E8%A1%93","dc:title":"膵頭十二指腸切除術"},{"@id":"https://cir.nii.ac.jp/all?q=%E5%A4%96%E5%82%B7%E6%80%A7%E5%8D%81%E4%BA%8C%E6%8C%87%E8%85%B8%E6%90%8D%E5%82%B7","dc:title":"外傷性十二指腸損傷"},{"@id":"https://cir.nii.ac.jp/all?q=%E8%85%B9%E9%83%A8%E5%88%BA%E5%89%B5","dc:title":"腹部刺創"},{"@id":"https://cir.nii.ac.jp/all?q=pancreaticoduodenectomy","dc:title":"pancreaticoduodenectomy"},{"@id":"https://cir.nii.ac.jp/all?q=traumatic%20duodenal%20injury","dc:title":"traumatic duodenal injury"},{"@id":"https://cir.nii.ac.jp/all?q=abdominal%20stab%20wound","dc:title":"abdominal stab wound"}],"dataSourceIdentifier":[{"@type":"JALC","@value":"oai:japanlinkcenter.org:2007603127"},{"@type":"CIA","@value":"130007787720"}]}