Risk factors for postoperative pancreatic leakage after D(2) resection of gastric cancer.
- Author:
Wei-dong CHEN
1
;
Feng-lin LIU
;
Zhen-bin SHEN
;
Kun-tang SHEN
;
Yi-hong SUN
;
Jing QIN
;
Xin-yu QIN
Author Information
- Publication Type:Journal Article
- MeSH: Adult; Aged; Female; Gastrectomy; adverse effects; Humans; Male; Middle Aged; Pancreatic Fistula; etiology; Postoperative Complications; etiology; Risk Factors; Stomach Neoplasms; pathology; surgery
- From: Chinese Journal of Gastrointestinal Surgery 2010;13(6):421-423
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo investigate the incidence of pancreatic fistula following D(2) gastrectomy and associated risk factors.
METHODSA total of 132 consecutive cases of gastric cancer underwent D(2) gastrectomy between Jul 1, 2009 and Dec 2009. Amylase concentration of the drainage fluid and serum amylase concentration were tested on day 1, 4, 7 after operation. Univariate analyses were performed to evaluate the significance of various covariates as risk factors for the pancreatic fistula-related complications.
RESULTSThe incidence of pancreatic fistula was 17.4%. None of the following factors including age, gender, tumor location, tumor stage, N stage, range of resection, fistula output, and serum amylase were associated with pancreatic fistula.
CONCLUSIONThe incidence of pancreatic fistula following D(2) gastrectomy is high. Drainage tube is necessary to prevent serious complications.
