Traumatismos pancreáticos: Lesiones complejas, tratamientos difíciles

Traumatic lesions of the pancreas are infrequent, representing approximately 4% of abdominal lesions. However, these injuries produce considerable morbidity and mortality and consequently early diagnosis and treatment are essential. The aim of this study was to present a concise description of the historical perspective and anatomy of the pancreas. The latter is of special interest to the classification and management of pancreatic lesions. In addition, we describe the diagnostic methods available for the evaluation of pancreatic trauma and the importance of broad knowledge of the most commonly used surgical techniques. Finally, we provide an in-depth analysis of the ranges of morbidity and mortality of these lesions based on an extensive review of the current literature and describe our experience in the management of this type of injury in a level I urban trauma center.