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Patients with pancreatic trauma undergoing resection between 2019 and 2024 were retrospectively reviewed, including preoperative findings, laboratory and radiologic data, and calculated trauma scores. Early mortality was defined as occurring within 3 days postoperatively, whereas later mortality was classified as late operative mortality.",{"@graph":14,"@context":73},[15,34,56],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/document/","Document",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/document/healthcare/","Healthcare",3,{"item":32,"name":10,"@type":21,"position":33},"https://docshare.wps.com/document/mortality-patterns-and-postoperative-outcomes-of-trauma-induced-pancreatic-resections-a-pilot-study/456613/",4,{"url":32,"name":10,"@type":35,"image":36,"author":41,"headline":10,"publisher":44,"fileFormat":47,"inLanguage":8,"description":12,"dateModified":48,"datePublished":49,"encodingFormat":47,"isAccessibleForFree":50,"interactionStatistic":51},"DigitalDocument",{"url":37,"@type":38,"width":39,"height":40},"https://docshare.wps.com/thumbnails/mortality-patterns-and-postoperative-outcomes-of-trauma-induced-pancreatic-resections-a-pilot-study/456613.png","ImageObject",300,407,{"name":42,"@type":43},"CatatanPagi","Person",{"url":19,"name":45,"@type":46},"DocShare","Organization","application/pdf","2026-10-31","2026-09-30",true,{"@type":52,"interactionType":53,"userInteractionCount":55},"InteractionCounter",{"@type":54},"ViewAction",9,{"@type":57,"mainEntity":58},"FAQPage",[59,65,69],{"name":60,"@type":61,"acceptedAnswer":62},"What 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resections: A pilot study  \n Hüseyin Fahri Martlı,  Mustafa Kaan Gençalp,  Mert Altaş,  Sadettin Er  \nGeneral Surgery Department, Ankara Bilkent City Hospital, Ankara-Türkiye  \nABSTRACT  \nBACKGROUND: Pancreatic surgery is one of the most challenging and complex types of surgery. Mortality rates for traumainduced resective pancreatic surgery are higher than those for elective pancreatic surgical procedures. Factors that increase mortality due to high-energy trauma include additional organ damage and hypovolemic shock, and complications of resective surgery can also be considered. There are few studies on this in the literature. This study aims to analyze resective pancreatic surgery outcomes and mortality patterns at a tertiary high-volume trauma and hepatobiliary surgery center.  \nMETHODS: Patients who underwent resection due to pancreatic trauma between 2019 and 2024 were retrospectively reviewed. Preoperative clinical findings, laboratory tests, and radiologic images were evaluated, and trauma scores were calculated. The surgeries, as well as postoperative morbidities and mortalities, were examined. Mortality within the first three days postoperatively was considered early, while mortality occurring thereafter was classified as late operative mortality.  \nRESULTS: According to the American Association for the Surgery of Trauma grading, 10 patients (55.5%) had Grade 4–5 blunt trauma, and 4 patients (22.2%) each had Grade 3 blunt trauma and Grade 4–5 penetrating trauma. Furthermore, 7 of the operated patients (38.88%) had fatal outcomes. The mortality rates were 57.14% for hemorrhagic shock-related deaths, 14.28% for pancreatic fistula-related deaths, and 28.56% for deaths unrelated to pancreatic fistulas.  \nCONCLUSION: In our study, early mortality was particularly high in patients presenting with shock from vascular injury, while late-term mortality was due to sepsis from pancreatic fistula and other complications. Effective management of shock at the time of arrival and postoperative complication management can help reduce morbidity and mortality in trauma-related pancreatic resections. Keywords: Hemorrhagic shock; pancreatic fistula; pancreatic trauma.  \nINTRODUCTION  \nPancreatic surgery is one of the most challenging and complex surgical procedures. Many studies have emphasized the necessity of performing such surgeries in specialized centers.[1-3] One of the significant advantages of centralizing pancreatic surgery is that operative mortality rates remain below 5%.[3-5] However, mortality rates for trauma-induced pancreatic surgery are considerably high, ranging from 34.7% to 54%.[6-9]  \nDespite the high operative mortality, emergency pancreatic  \nsurgery may be necessary in cases of blunt or penetrating abdominal trauma, tumor hemorrhage, or complex perforated or bleeding peptic ulcers.[8] In the early phase of the postoperative period, the primary causes of high mortality are uncontrolled major vascular bleeding and associated organ injuries, whereas in the late phase, infection and multiorgan failure are commonly reported.[10] However, unlike elective pancreatic surgeries, in which the root causes of mortality have been extensively studied, the prevailing general consensus is that investigations into the causes of mortality in trauma-related pancreatic surgeries are less comprehensive.[4,5]  \n\n| Cite this article as: Martlı HF, Gençalp MK, Altaş M, Er S. Mortality patterns and postoperative outcomes of trauma-induced pancreatic resections: A pilot study. Ulus Travma Acil Cerrahi Derg 2025;31:980-986.\u003Cbr>Address for correspondence: Hüseyin Fahri Martlı\u003Cbr>General Surgery Department, Ankara Bilkent City Hospital, Ankara, Türkiye\u003Cbr>E-mail: [fahri_martli@hotmail.com](fahri_martli@hotmail.com) |  |\n| --- | --- |\n| Ulus Travma Acil Cerrahi Derg 2025;31(10):980-986 DOI: 10.14744/tjtes.2025.68474\u003Cbr>Submitted: 17.04.2025 Revised: 21.","cbCaioImpxe9y0VQ","https://ap.wps.com/l/cbCaioImpxe9y0VQ","pdf",286868,"English","# Abstract\n# Introduction\n# Materials and Methods\n## Patient Data","[{\"question\":\"What is the primary goal of this pilot study?\",\"answer\":\"To analyze resective pancreatic surgery outcomes and identify mortality patterns after trauma-induced pancreatic resections at a tertiary high-volume center.\"},{\"question\":\"How were early and late postoperative mortality defined?\",\"answer\":\"Mortality within the first three days after surgery was classified as early, while mortality occurring thereafter was considered late operative mortality.\"},{\"question\":\"What were the main categories of causes of death reported in the results?\",\"answer\":\"Deaths were mainly related to hemorrhagic shock, pancreatic fistula complications, or causes unrelated to pancreatic fistulas.\"}]","Mortality patterns and postoperative outcomes of trauma-induced pancreatic resections - A pilot study | PDF",1790746514,18]