Pancreatoduodenal resection was used in ten patients with devastating injuries of the pancreas, duodenum, and adjacent organs. There were four survivors. Major factors related to postoperative mortality were pulmonary insufficiency, acute renal failure, and coagulation disorders. Although most pancreatic, or combined pancreatoduodenal injuries can be successfully managed by lesser operative procedures, pancreatoduodenal resection can be successfully performed in highly selected cases in which there is little likelihood for salvage of the injured organs.
Yellin AE, Rosoff L. Pancreatoduodenectomy for Combined Pancreatoduodenal Injuries. Arch Surg. 1975;110(10):1177-1183. doi:10.1001/archsurg.1975.01360160015001