[Postoperative acute pancreatitis after treatment of traumatic spleen lesion]

Results of the surgical treatment of 96 patients with isolated blunt spleen trauma and 43 patients with intraoperative spleen injury were analyzed. Acute postoperative pancreatitis developed in 20 patients (14,4%). Interdependence between the type and extent of the operative spleen treatment and pancreatitis frequency was registered. Of 93 splenectomized patients 18 (19,4%) developed postoperative pancreatitis, and of 46 patients, who had an organ-preserving operation, pancreatitis was registered in only 2 cases (4,3%). Thus, spleen-preserving operations allow to decrease the frequency of postoperative pancreatitis. Method of the reversible spleen mobilization increases the possibilities of the organ-preserving treatment in case of hard-to-reach ruptures.