Clinical analysis of post pancreatoduodenectomy hemorrhage.
- Author:
Song GAO
1
;
Yin-mo YANG
;
Meng-shan CAI
;
Wen-han WU
;
Zhan-bing LIU
;
Yan ZHUANG
;
Jian-xun ZHAO
;
Yuan-lian WAN
Author Information
- Publication Type:Journal Article
- MeSH: Adolescent; Adult; Aged; Aged, 80 and over; Child; Female; Humans; Male; Middle Aged; Pancreaticoduodenectomy; Postoperative Hemorrhage; diagnosis; etiology; therapy; Retrospective Studies; Risk Factors
- From: Chinese Journal of Surgery 2008;46(20):1553-1556
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo explore the factors of post pancreatoduodenectomy hemorrhage.
METHODSThe clinical data of 263 cases between January 1998 and April 2008 underwent pancreatoduodenectomy were analyzed prospectively.
RESULTSThe overall mortality rate was 4.94% (13/263). Postoperative bleeding occurred in 23 patients (8.75%), with 8 episodes ending fatally (34.8%). The tumor size, Child classification, caput total resection and pancreatic leakage were identified as significant risk factors for post pancreatoduodenectomy hemorrhage by means of univariate analysis. The multivariate Logistic regression analysis revealed that all of the five factors turned out to be the independent risk factors.
CONCLUSIONSThe prevention of these bleeding complications depends in the first place on meticulous hemostatic technique. The pancreatic leakage is also one of the most important factors due to postoperative bleeding. The prophylactic use of somatostatin is not necessary.
