Management of blunt pancreatic injury:experience in 36 cases
XIANG Zhen
GAO Jin-mou
HU Ping
LIU Chao-pu
Abstract：Objective To explore the diagnosis and treatment for blunt pancreatic injury .Methods The clinical data of 36 cases of blunt pancreatic injury in our unit from Jan .2007 to Oct.2012 were studied retrospective-ly.According to the American Association for the Surgery of Trauma-Organ Injury Scaling ( AAST-OIS) ,there were 15 cases of grade I pancreatic injury ,10 cases of grade Ⅱ,6 cases of grade Ⅲ,4 cases of grade Ⅳ and 1 case of grade Ⅴ.Of them,33 cases(91.6%) had associated injuries,and 21 cases had shock (58.3%).All cases un-derwent surgical treatment .The surgical maneuver included simple drainage in 15 cases,debridement or repair plus drainage in 9,distal pancreatectomy in 1,body and distal pancreatectomy in 3,proximal pancreatic close plus distal Roux-en-Y pancreaticojejunostomy in 1.Postoperative complications occurred in 12 cases(33.3%),including pan-creatic fistula in 4 cases,pancreatic pseudocyst in 3,pancreatic abscess in 2,and traumatic pancreatitis in 2.Re-sults Thirty-four cases(89.3%) were cured.Two patients died of hemorrhagic shock and peritoneal infection re-spectively .Conclusion The key of surgical treatment for pancreatic injury is to identify whether the main pancre-atic duct is injured .Surgical maneuver should be selected based on the classification of pancreatic injury ,and it can decrease the morbidity and mortality obviously in the patients with blunt pancreatic injury .
Keywords：pancreatic injurysurgery
Publication Date：2013-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 391-393 )