ifferent Treatment to AAST Grade III Blunt Pancreatic Trauma According to Injured Site

o determin if simple drainage operation is optimal to American Association for the Surgery of Trauma (AAST) grade III pancreatic trauma. Methodology: A series of 23 AAST grade III patients of blunt pancreatic trauma was retrospectively reviewed. A standardized operation of simple drainage was performed. Morbidity was compared between neck injured group and body/tail injured group. Results: The late-stage reoperation rate for unresolved pancreatic fistula was significantly lower in neck injury group than in body/tail injury group. Conclusions: Different management should be adopted according to the injured site within grade III trauma. Simple drainage surgery should be extended from grade IV/V injury to include neck injury of grade III trauma and distal pancreatectomy can be restricted to body or tail injury.