Surgical management of transected injury to the pancreatic neck / 中华创伤杂志(英文版)

ABSTRACT

<p><b>OBJECTIVE</b>To present a batch of data of transected pancreatic neck injuries and to sum up the experience in surgical interventions for the injuries.</p><p><b>METHODS</b>We analysed 13 patients with a transected injury to the pancreatic neck from Jan. 1995 to Dec. 2000. External drainage was performed in all patients. Pancreatoduodenectomy was conducted in 2 patients with a transected injury to the pancreatic neck associated with duodenal ruptures, and TPN was administered immediately after operation. Proximal closure of the transected margin and distal pancreaticojejunostomy was performed in 4 patients. Proximal closure of the transected margin and distal pancreaticojejunostomy plus splenectomy was performed in 7 patients associated with contusion of pancreatic body or tail plus spleen rupture.</p><p><b>RESULTS</b>12 patients healed and one patient died of anesthetic accident during the course of restoration of the dislocation of his right hip joint. Complications occurred in 7 patients.</p><p><b>CONCLUSIONS</b>The operation should be performed according to the degree of the injuries and associated duodenal injuries. Routine drainage and nutrient support should be recommended.</p>