Pancreatoduodenectomy for penetrating pancreatic trauma.
Six cases of pancreatoduodenectomy performed for combined injuries of the pancreas, duodenum, and/or distal common duct are reported. Pancreatoduodenectomy is indicated when there is extensive destruction of the pancreatic head in conjunction with major injuries of the duodenum, distal common duct, and/or retropancreatic portal vein, necessitating complete division of the pancreatic head. Reconstruction is best achieved by end-to-end pancreatiocieiunostomy, end-to-side choledochojejunostomy, antrectomy, and vagotomy.
D000293:Adolescent; D000328:Adult; D004386:Duodenum / Q000293:injuries / Q000601:surgery*; D006801:Humans; D008297:Male; D010179:Pancreas / Q000293:injuries*; D010180:Pancreatectomy; D010183:Pancreatic Ducts / Q000293:injuries; D011183:Postoperative Complications; D014948:Wounds, Gunshot / Q000601:surgery; D014950:Wounds, Penetrating / Q000601:surgery*