Analysis of 68 cases for risk factors of early postoperative complications after Pancreatoduodenectomy

JIANG Jin-wei; et al

doi:10.13406/j.cnki.cyxb.2010.03.036

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Analysis of 68 cases for risk factors of early postoperative complications after Pancreatoduodenectomy

更新时间：2024-01-17

- Analysis of 68 cases for risk factors of early postoperative complications after Pancreatoduodenectomy
- Journal of Chongqing Medical University Vol. 35, Issue 3, Pages: 457-460(2010)
- 作者机构：
  
  1. 重庆医科大学附属第二医院肝胆外科
  2. 福建医科大学附属漳州市医院普外一科
- 作者简介：
- 基金信息：
- DOI：10.13406/j.cnki.cyxb.2010.03.036
  CLC： R735.9
- Published：2010，
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[1]蒋金伟,黄国强,唐勇,刘长安.68例胰十二指肠切除术后早期并发症危险因素分析[J].重庆医科大学学报,2010,35(03):457-460.

JIANG Jin-wei, et al. Analysis of 68 cases for risk factors of early postoperative complications after Pancreatoduodenectomy. [J]. Journal of Chongqing Medical University 35(3):457-460(2010)
[1]蒋金伟,黄国强,唐勇,刘长安.68例胰十二指肠切除术后早期并发症危险因素分析[J].重庆医科大学学报,2010,35(03):457-460. DOI： 10.13406/j.cnki.cyxb.2010.03.036.

JIANG Jin-wei, et al. Analysis of 68 cases for risk factors of early postoperative complications after Pancreatoduodenectomy. [J]. Journal of Chongqing Medical University 35(3):457-460(2010) DOI： 10.13406/j.cnki.cyxb.2010.03.036.

摘要

目的:总结胰十二指肠切除术（Pancreatoduodenectomy

PD）后早期并发症发生的危险因素、原因及防治方法。方法:自2003年1月至2007年12月我院共施行68例胰十二指肠切除术

对这些病例进行回顾性分析。结果:术后发生各种并发症者24例

发生率为35.3%

死亡4例

病死率为5.9%。经分析确定5个与早期并发症相关的因素:未留置胆肠支撑管（OR=12.841）、术前最高胆红素水平大于等于171.1μmol/L（OR=8.990）、胰肠吻合采用端端吻合方式（OR=8.542）、未留置胰肠支撑管（OR=8.522）、术中输血量大于等于1000ml（OR=8.358）。结论:胰瘘、胆瘘及出血仍然是PD术后的主要并发症

胰肠吻合采用端侧吻合方式

胆肠、胰肠吻合口留置支撑管

术后密切观察和及时积极的处理、配备有经验丰富人员的专业团队可减少术后并发症的发生。

Abstract

Objective:To investigate the risk factors of early postoperative complications in patients undergoing pancreatoduodenectomy and to analyse the causes and the measures for prevention and treatment of the complications.Methods:Clinical data of 68 patients undergoing pancreatoduodenectomy in our hospital from January 2002 to December 2007 were collected and analyzed retrospectively.Results:Postoperative complications occurred in 24 patients(35.3%).Of these 24 patients

4 died(5.9% of the total).We revealed that no billiary stent(OR=12.841)

preoperative total serllm bilirubin level over 171.1 μmol/L(OR=8.990)

end-to-end pancreaticojejunostomy(OR=8.542)

no pancreatic stent(OR=8.522)

intraoperative blood transfusion over 1000 ml(OR=8.385) were important factors for early complications.Conclusions:The main complications after PD were pancreatic leakage

bile duct leakage and hemorrhage.Pancreatic stent

billiary stent

end-to-side mucosa-to-mucosa pancreaticojejunostomy and good surgical expertise can decrease early morbidity rate.

关键词

胰十二指肠切除术手术后并发症危险因素

Keywords

pancreatoduodenectomypostoperative complicationsrisk factors

references

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