Surgical management of transected injury to the pancreatic neck.
OBJECTIVE
To present a batch of data of transected pancreatic neck injuries and to sum up the experience in surgical interventions for the injuries.


METHODS
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.


RESULTS
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.


CONCLUSIONS
The operation should be performed according to the degree of the injuries and associated duodenal injuries. Routine drainage and nutrient support should be recommended.
Mu
De-qing
DQ
Department of Surgery, Second Hospital Affiliated to Medical College of Zhejiang University, Hangzhou 310031, China. mudeqing@hotmail.com
Dong
Qing-hua
QH
Peng
Shu-you
SY
Peng
Cheng-hong
CH
Wu
Yu-lian
YL
D000293:Adolescent; D000328:Adult; D002648:Child; D004322:Drainage; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D018529:Nutritional Support; D010179:Pancreas / Q000293:injuries* / Q000601:surgery*