Prevention and nursing of complications for radical pancreaticoduodenectomy combined with major vascular resection and reconstruction
10.3760/cma.j.issn.1674-2907.2017.07.010
- VernacularTitle:联合血管切除重建的根治性胰十二指肠切除术患者术后并发症的预防及护理
- Author:
Yuan WANG
1
;
Jianyu LIN
;
Qiang HE
;
Jiao WU
;
Yanping GAO
Author Information
1. 100020,首都医科大学附属北京朝阳医院肝胆胰脾外科
- Keywords:
Pancreaticoduodenectomy;
Postoperative complications;
Nursing care;
Prevention
- From:
Chinese Journal of Modern Nursing
2017;23(7):926-928
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the prevention and nursing of the complications of radical pancreaticoduodenectomy via artery approach under the colon area combined with portal vein and splenic vein resection and reconstruction.Methods A total of 13 cases of the radical pancreaticoduodenectomy via artery approach under the colon area combined with portal vein and splenic vein resection and reconstruction from March 2015 to June 2016 in Beijing Chao-Yang hospital were included in the study. Postoperative complications of patients were analyzed and effective nursing interventions were summarized.Results There was no patient with abdominal bleeding, gastrointestinal bleeding or portal vein thrombosis, 3 patients with pancreatic fistula and 1 patient suffering from delayed gastric emptying in total 13 cases. All of them were discharged after active treatment and nursing care.Conclusions Rigorous observation and effective preventive care on the patients of the radical pancreaticoduodenectomy via artery approach under the colon area combined with portal vein and splenic vein reconstruction could prevent, earlier observe and treat patients with complications to save their lives.