• Mehdi Ouaïssi, Igor Sielezneff, Jean Baptiste Chaix, Remi Bon Mardion, Nicolas Pirrò, Stéphane Berdah, Olivier Emungania, Bernard Consentino, Silvia Cresti, Laetitia Dahan, Pierre Orsoni, Vincent Moutardier, C Brunet, and Bernard Sastre.
• Service de Chirurgie Digestive et Oncologique, Pôle d'Oncologie et de Spécialité Médicale et Chirurgicale Hôpital Timone, Marseille, France. mehdi.ouaissi@mail.ap-hm.fr
• Hepato Gastroenterol. 2008 May 1;55(84):817-20.

Background/AimsPancreatic injury from blunt trauma is infrequent. The aim of the present study was to evaluate a simplified approach of management of pancreatic trauma injuries requiring immediate surgery consisting of either drainage in complex situation or pancreatectomy in the other cases.MethodologyFrom January 1986 to December 2006, 40 pancreatic traumas requiring immediate surgery were performed. Mechanism of trauma, clinical and laboratories findings were noted upon admission, classification of pancreatic injury according to Lucas' classification were considered. Fifteen (100%) drainages were performed for stage I (n=15), 60% splenopancreatectomies and 40% drainage was achieved for stage II (n=18), 3 Pancreaticoduonectomies and 2 exclusion of duodenum with drainage and 2 packing were performed for stage IV (n=7).ResultsThere were 30 men and 10 women with mean age of 29+/-13 years (15-65). Thirty-eight patients had multiple trauma. Overall, mortality and global morbidity rate were 17% and 65% respectively, and the rates increased with Lucas' pancreatic trauma stage.ConclusionsDistal pancreatectomy is indicated for distal injuries with duct involvement, and complex procedures such as pancreaticoduodenectomy should be performed in hemodynamically stable patients.

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