One hundred and seventy-five pancreatic injuries were studied, reviewed at Parkland Memorial Hospital over a 20-year period. The mortality for penetrating injuries to the pancreas has remained at approximately 20% because of associated major vessel injuries. Due to more aggressive management of pancreatic injuries, the mortality for blunt trauma of the pancreas has decreased from a previously reported 37% to an overall 16%, and to 8% during the past five years. Mortality for the pancreatic injury is less than 5%. Distal pancreatectomy has been useful for transections of the body of the pancreas, but a Roux-en-Y anastomosis to both ends of the pancreas has been a preferred and satisfactory method of management of the completely transected pancreas in the region of the neck. Pancreaticoduodenectomy has only been performed for combined pancreaticoduodenal injuries.
Jones RC, Shires GT. Pancreatic Trauma. Arch Surg. 1971;102(4):424-430. doi:10.1001/archsurg.1971.01350040186035