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Central Pancreatectomy With Pancreatogastrostomy for Traumatic Transection of the Pancreas
Farzad Alemi*, Jonathan Carter, Carlos U. Corvera
Surgery, UCSF, San Francisco, CA

A 22 year-old man sustained abdominal trauma resulting in complete transection of the pancreas at the neck of the gland. Pancreatic ascites and mesenteric hematoma was found at exploration. Given the normalcy of the distal pancreatic remnant, a central pancreatectomy and pancreatogastrostomy was done. The operation entailed 1) partial mobilization of the distal pancreatic remnant, 2) cannulation and stenting of the pancreatic duct, 3) opposing anterior and posterior gastrotomies, and 4) a two-layer, interrupted anastomosis. The proximally transected segment was treated with biologic adhesive and wide drainage. Postoperatively the patient exhibited normal digestion and glucose homeostasis.


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