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VOLUME 9 , ISSUE 1 ( January-April, 2020 ) > List of Articles

Original Article

Damage Control Pancreatoduodenectomy for Severe Pancreaticoduodenal Trauma: A Multicentric Case Series in Colombia

Luis F Cabrera, Mauricio Pedraza, Sebastian Sanchez, Paula Lopez, Felipe Bernal, Jean Pulido, Patricia Parra, Carlos Lopez, Luis M Marroquin, Juliana Ordoñez, Gabriel Herrera

Keywords : Abdominal trauma, Advanced trauma life support care, Duodenum, Multiple trauma, Pancreas, Trauma severity indices

Citation Information : Cabrera LF, Pedraza M, Sanchez S, Lopez P, Bernal F, Pulido J, Parra P, Lopez C, Marroquin LM, Ordoñez J, Herrera G. Damage Control Pancreatoduodenectomy for Severe Pancreaticoduodenal Trauma: A Multicentric Case Series in Colombia. Panam J Trauma Crit Care Emerg Surg 2020; 9 (1):38-44.

DOI: 10.5005/jp-journals-10030-1266

License: CC BY-NC 4.0

Published Online: 25-04-2013

Copyright Statement:  Copyright © 2020; The Author(s).


Abstract

Introduction: Emergency pancreatoduodenectomy is a procedure that is indicated for the management of severe pancreaticoduodenal trauma after damage control surgery. Objectives: To present our experience of pancreaticoduodenal trauma management with emergency pancreatoduodenectomy and damage control surgery. Materials and methods: Retrospectively recorded data of patients with severe pancreaticoduodenal trauma who underwent a pancreatoduodenectomy and damage control for trauma at a high-volume trauma center. Results: In a period of 6 years, four patients (three men and one woman, median age 17.5 years, range: 16–21 years) with severe pancreaticoduodenal trauma underwent a pancreatoduodenectomy and damage control procedure (gunshot n = 4), and in a second surgical procedure underwent gastrointestinal tract reconstruction. In total, 75% incidence of surgical site infection (SSI) was reported, 25% health-care-associated pneumonia, and 50% postoperative pancreatic fistula (POPF). Intensive care unit (ICU) of 12.25 and hospital stay of 29.5 days mean and no mortality. Conclusion: An emergency pancreatoduodenectomy can be a lifesaving procedure in patients with non-reconstructable duodenopancreatic injuries. Damage control surgery in pancreaticoduodenal trauma is an alternative for management although with high risk of morbidity.

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