Diagnosis and treatment of pancreatic injury: a report of 25 cases
DAI Qiancheng
ZHANG Beili
GONG Dingqian
Abstract：Objective To summarize the clinical experience in diagnosis and treatment of pancreatic injury.Methods The clinical data of 25 cases of pancreatic injury treated surgically from January 2000 to December 2015 in Department of General Surgery,Shanghai Ninth People's Hospital Affiliated to Shanghai Jiaotong University were analyzed.All the cases were graded according to American Association for the Surgery of Trauma-Organ Injury Scale.Results 16 cases were abdominal closed injury,9 cases were open abdominal injury,13 cases underwent surgeries,including distal pancreatectomy in 6 cases,pancreatic repair in 6 cases,debridement and packing in 1 case.3 patients died after operations.7 cases suffered pancreatic postoperative complications.19 cases were followed up,and 4 cases developed diabetes.Conclusion Traumatic pancreatic injury is complicated and critical.Reasonable treatment and surgical procedure are important in the treatment of pancreatic injury.The principle of damage control surgery (DCS) should be followed in the patients with systemic and local critical conditions.The function of the pancreas after trauma depends on the amount and the healthcondition of residual pancreas.
Keywords：Pancreatic injuryDiagnosisTreatment
Publication Date：2018-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 187-189 )