Berni G A, Bandyk D F, Oreskovich M R, Carrico C J
Am J Surg. 1982 May;143(5):602-5. doi: 10.1016/0002-9610(82)90173-8.
Over a 10 year period, 54 patients presented with pancreatic trauma. During the first 5 years of the study, when pancreatography was not utilized for the assessment of pancreatic duct injury, 55 percent of the patients had major pancreatic complications. During the subsequent 5 years, suspected proximal duct injury was evaluated by intraoperative pancreatography. This resulted in a decrease of postoperative morbidity to 15 percent. In addition, there were not postoperative deaths during this period. The reduction in adverse sequelae after pancreatic trauma leads us to support the following principles of treatment: early recognition of pancreatic injury with immediate surgical intervention, complete exploration of the pancreas with the liberal use of intraoperative pancreatography to determine the presence of major duct injury, and the use of techniques which ensure control of duct disruption.
在10年期间，有54例患者出现胰腺创伤。在研究的前5年，当未使用胰管造影术评估胰管损伤时，55%的患者出现了严重的胰腺并发症。在随后的5年中，通过术中胰管造影术对疑似近端胰管损伤进行评估。这使得术后发病率降至15%。此外，在此期间没有术后死亡病例。胰腺创伤后不良后果的减少使我们支持以下治疗原则：早期识别胰腺损伤并立即进行手术干预，充分探查胰腺并大量使用术中胰管造影术以确定是否存在主要胰管损伤，以及采用确保控制胰管破裂的技术。
