Alia Valentine S, Alvarado Ed W, Diaz Edward M, Albo Daniel, Galindo Roger
University of Texas Rio Grande Valley School of Medicine, Edinburg, TX, United States of America.
Department of Surgery, Valley Baptist Medical Center, Harlingen, TX, United States of America.
Trauma Case Rep. 2023 Sep 23;48:100940. doi: 10.1016/j.tcr.2023.100940. eCollection 2023 Dec.
The traumatic pancreatoduodenectomy, also known as the traumatic Whipple, is a specialized surgical procedure often reserved for extreme cases in which an individual suffers traumatic injuries to the pancreas, duodenum, or periampullary structures. Traditionally, a Whipple procedure is a complex surgery involving the removal of the head of the pancreas, duodenum, and a portion of both the bile duct and stomach, for the management of pancreatic head cancer. In underserved communities where limited access to healthcare is coupled with a higher incidence of trauma, the lack of specialized and supportive care for patients suffering from pancreatic injuries may lead to an increased morbidity and mortality rate. This case report aims to provide a detailed analysis of a patient who underwent a traumatic pancreatoduodenectomy in a medically underserved region in South Texas, while discussing the rarity of the procedure, its incidence and mortality rates, as well as the subsequent outcomes faced by individuals in this patient population.
创伤性胰十二指肠切除术，也称为创伤性惠普尔手术，是一种专门的外科手术，通常用于治疗胰腺、十二指肠或壶腹周围结构遭受创伤性损伤的极端病例。传统上，惠普尔手术是一种复杂的手术，包括切除胰头、十二指肠以及部分胆管和胃，用于治疗胰头癌。在医疗服务不足的社区，获得医疗保健的机会有限且创伤发生率较高，胰腺损伤患者缺乏专业和支持性护理可能会导致发病率和死亡率上升。本病例报告旨在详细分析一名在南德克萨斯州医疗服务不足地区接受创伤性胰十二指肠切除术的患者，同时讨论该手术的罕见性、发病率和死亡率，以及该患者群体中个体所面临的后续结果。
