Abstract
Based on the American Association for the Surgery of Trauma Organ Injury classification, pancreatic injuries with disruption of the main pancreatic duct (grades 3–4) or pancreatic injuries combined with a duodenal injury, combined pancreaticoduodenal injuries (grade 5) can be defined as complex pancreatic injuries. Their detection is based on preoperative imaging or surgical exploration. Their management is operative in most cases and requires thorough exposure of the pancreatic gland as well as careful assessment of the degree of injury and evaluation of associated injuries. Some types of pancreatic resection are usually required. Although mortality specifically related to the pancreatic injury itself is quite low, postoperative complications are frequent and often associated with delayed diagnosis and treatment.
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Leppäniemi, A., Tolonen, M. (2023). Updates in the Management of Complex Pancreatic Trauma. In: Aseni, P., Grande, A.M., Leppäniemi, A., Chiara, O. (eds) The High-risk Surgical Patient. Springer, Cham. https://doi.org/10.1007/978-3-031-17273-1_64
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DOI: https://doi.org/10.1007/978-3-031-17273-1_64
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