Early mortality from pancreatic trauma is generally due to associated major vascular and solid-organ injury. Late morbidity and mortality are due to complications of pancreatic parenchymal and ductal injury. The management of specific pancreatic injury depends on the status of the main pancreatic duct, the degree of parenchymal damage, and the anatomic location of the injury. Complete visualization of the gland and accurate determination of the duct status are key intraoperative maneuvers.
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