[ XXXX of the pancreas: report of 65 cases].

@entity1 @entity660 @entity532 @entity14 @entity356 @entity130
With the aim of aiding the accurate diagnosis and treatment of @entity1 with @entity660 , we reviewed the medical records of sixty-five @entity1 , treated for traumatic pancreatic lesions at the Department of Surgery of the University of S  o Paulo in the 5-year period from 1989 through 1993. Records, including operative and pathology reports, were reviewed and the location of the @entity660 , associated intra-abdominal @entity130 , @entity130 , @entity130 scores, treatment, complications and mortality rates recorded. There were 58 male and seven female @entity1 with a mean age of 28.3 years (range, 2-77 years). Of the 65 @entity660 , 45 (69.2%) were caused by penetrating wounds and twenty by blunt @entity130 . The most frequent site of lesion was the head of the pancreas (38.5%). Associated @entity130 were found in all but five of the @entity1 . In the 65 @entity1 , 170 intra-abdominal @entity130 were found (2.6 per @entity1 ). Twenty-eight of the 65 @entity1 (43.1%) had liver lacerations. Lacerations of major abdominal vessels (27 @entity1 ), @entity356 (25 @entity1 ) and @entity14 (17 @entity1 ) were the next most frequent @entity130 . Fifteen out of twenty @entity1 died within two days after the accident from severe concomitant @entity130 . Simple drainage was performed in 33 @entity1 , distal pancreatectomy in 17 and duodenopancreatectomy in six @entity1 . @entity532 occurred in 20 (30.7%) out of 57 @entity1 who survived the initial operation. We concluded that the type of repair employed in our series was related to the class of injury and clinical conditions (based on @entity130 scores). Therefore, whenever possible, conservative management (no pancreatic resection) was employed in @entity1 that sustained class I and II @entity130 and pancreatic resection in class III and IV @entity130 .
