Anterior Roux‑en‑Y Pancreatico‑jejunostomy for Pancreatic Trauma

Abstract

Isolated pancreatic laceration is a rare injury. The typical mechanism by which it occurs is overstretching of the pancreas across the vertebral column during blunt abdominal trauma. The management depends on the location and extent of the injury. Disruption of the pancreatic duct usually requires operative treatment. Operative options for pancreatic laceration at the neck include distal pancreatectomy or suturing of the cephalic remnant and Roux‑en‑Y pancreatico‑jejunostomy on the left remnant. We are reporting two cases of isolated pancreatic injury with disruption of the pancreatic duct but preserved posterior surface of the pancreas. These patients were managed by performing anterior Roux‑en‑Y pancreatico‑jejunostomy at the lacerated area. Both the patients had successful outcome with removal of drains by 6th postoperative day. Anterior Roux‑en‑Y pancreatico‑jejunostomy in this particular scenario is easy, less time consuming, and has the advantage of preserving the pancreas and the spleen.

Keywords: Pancreatic trauma, Roux‑en‑Y pancreatico‑jejunostomy, anterior pancreatico-jejunostomy