|
How did this young man do? Was this a soldier or civilian? I just did my first whipple yesterday since finding this site and did a search thinking someone here may have talked about a trauma whipple. Mine required a side-bite of the PV.
Do you remember the triad parameters/labs going in? Did you fix the back wall IVC injury through the front? What was your tube and drain arrangement? Pyloric exclusion or duodenal diverticularization? Seems like it was a fairly small duodenotomy. Floseal work? Develop fistula?
Agreed, this area is tiger country and you did an outstanding job. Not as hard to save as retrohepatic caval injury but takes more thinking and fraught with more postop complications and decisions.
|