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October 1975

Pancreatoduodenectomy for Combined Pancreatoduodenal Injuries

Author Affiliations

From the Department of Surgery, University of Southern California School of Medicine and the Los Angeles County-University of Southern California Medical Center, Los Angeles.

Arch Surg. 1975;110(10):1177-1183. doi:10.1001/archsurg.1975.01360160015001

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.