Surgical treatments of traumatic pancreatic injury:a report of 12 cases
Objective To explore the surgical treatments for traumatic pancreatic injury in blunt abdominal trauma.Methods From January 2018 to August 2023,the relevant clinical data were retrospectively reviewed for 12 cases of traumatic pancreatic injury.Underlying causes,diagnostic modes,surgical outcomes and major complications were examined.Results The causes of traumatic pancreatic trauma were traffic accident(n=8)and crush(n=4).According to the scale of American Association for the Surgery of Trauma(AAST)for pancreatic trauma,the clinical grades were Ⅱ(n=2),Ⅲ(n=6),Ⅳ(n=1)and Ⅴ(n=3).Among 8 cases of preoperative serum amylase examination,6 cases had an elevated level.Ten cases received preoperative computed tomography(CT)scan.All of them were operated,including removal of peripancreatic hematoma(n=1),removal of peripancreatic hematoma & pancreatic injury repair(n=1),distal pancreatectomy(n=2),distal pancreatectomy plus splenectomy(n=4),pancreatic necrosectomy plus pancreatic external drainage(n=1),pancreatoduodenectomy(n=2)and pancreatic necrosectomy and peripancreatic drainage plus superior mesenteric vein repair pancreatic rupture repair(n=1).The outcomes were mortality(n=1),pancreatic fistula(n=2)and intra-abdominal infection(n=2).Conclusion Preoperative CT scan is a vital diagnostic tool of pancreatic trauma in blunt abdominal trauma and an early classification aids in decision-making of surgical approaches.Surgical intervention should be performed as early as possible for high-grade pancreatic trauma under the premise of stable vital signs.Correct surgical approaches and sufficient drainage are essential for preventing postoperative complications.
万方数据
维普
