A pancreatoduodenectomy in emergency due to the pancreato-duodenal injury was severe procedure, the rate of morbidity and mortality was very important after surgery. Objective: evaluate results of pancreatoduodenectomy due to abdominal injury. Results: from 1/2000 to 9/2008 in Viet Duc hospital, 31 patients include: male: 28 (90.3 percent), females: 3 (9.7 percent); the average age of 33.5 + or - 14.0 (range 11-71 age); closed abdominal injury: 30 (96.8 percent); penetrating abdomen: 1 (3.2 percent). 15 cases (48.4 percent) operated in other hospitals, 16 cases (51.6 percent) received at the Viet Duc hospital. Time to hospital following the accident was an average of 109.5 + or - 152.7 hours. Exploratory paraclinics showed increased blood amylase is 83.3 percent; cr abdominal revealed 81.2 percent of pancreatic injuries correctly, 61.5 percent of duodenum. Urgent surgical indication based on serious injuries in pancreas combined with multiple lesions in the duodenum 24/31 (77.4 percent). Operating time average 6.1 + or - 1.03 seconds (4-8.3 hours). Complications after surgery were 11 cases (35.5 percent); mortality 3 (9.7 percent). Time of hospitalization was averaging 34.5 + or - 56 days (range 10-304 days). Conclusion: pancreatoduodenectomy was heavy procedure, the rate of morbidity and mortality was important after surgery, high econmics, long hospital stays, more morbidity and mortality. Need to discution carefully and should limit when performing this surgery.
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