Observational Study on Surgical Approaches for Traumatic Pancreas Transection and Their Effects on Diabetes and Complications

What this Trial Is About

This observational study investigates the effects of different surgical methods on patients with traumatic pancreas transection. It aims to understand whether pancreas-preserving surgery can reduce the chance of developing diabetes after surgery and to identify the main causes of complications and death following pancreas transection. The study is retrospective and analyzes patient records from National Cheng Kung University Hospital, focusing on the clinical outcomes related to pancreas injuries. Patients included in the study underwent various surgical treatments depending on their condition and the surgeons preference. These included distal pancreatectomy with or without spleen removal, or pancreas-preserving pancreatojejunostomy, performed either openly or laparoscopically. Early pancreas surgery is considered if done within 48 hours of injury, otherwise it is delayed. Procedures such as damage-control laparotomy and trans-arterial embolization were used for managing critical bleeding before pancreas surgery. Drains were placed near the pancreas stump and removed based on specific drainage criteria. Participants medical records were reviewed for demographic data, injury details, surgical procedures, complications classified by severity, timing of drain removal, hospital stay length, and mortality. Measures like blood glucose and HbA1c levels were evaluated up to 6 months post-surgery to monitor diabetes development. The study also tracked postoperative complications and outcomes related to the drains up to 4 weeks after removal. This comprehensive follow-up helps understand the risks and recovery related to traumatic pancreas transection.

Management of Traumatic Pancreas Transection