# A Case of Pancreaticoduodenectomy for Grade V Traumatic Pancreatic Injury in an Elderly Patient

## TL;DR

An elderly patient with severe pancreatic injury was successfully treated with a single surgery through collaboration between trauma and HPB surgeons.

## Contribution

Demonstrates the effectiveness of one-stage surgery for grade V pancreatic injury in select elderly patients.

## Key findings

- One-stage pancreaticoduodenectomy was successfully performed for a grade V injury in an elderly patient.
- Collaboration between trauma and HPB surgeons led to a favorable outcome.
- Not all severe pancreatic injuries require a two-stage surgical approach.

## Abstract

Traumatic pancreatic injury is a rare condition, but cases involving main pancreatic duct injury often require surgical intervention and are associated with high mortality rates. Recently, two-stage surgical approaches, with initial damage control surgery followed by delayed pancreatic resection and reconstruction, have been increasingly reported. However, we argue that not all cases need a two-stage approach; instead, surgical strategies should be tailored based on the patient's vital signs. Furthermore, in pancreatic surgery, effective collaboration between trauma surgeons and hepatopancreatobiliary (HPB) surgeons is essential. Here, we report a case of a grade V traumatic pancreatic injury in an elderly patient that was successfully managed with one-stage pancreaticoduodenectomy, performed through coordinated efforts between trauma and HPB surgeons, resulting in a favorable outcome.