Analysis of risk factors for intra-abdominal infection after pancreaticoduodenectomy

VernacularTitle:胰十二指肠切除术后腹腔感染的危险因素分析
Author: Jiawen DU ; Dongpo PEI ; Linping HUANG ; Wu NING ; Zhengkang WANG ; Zhengen JIA
Publication Type:Journal Article
Keywords: Pancreaticoduodenectomy; Intra-abdominal infection; Risk factors
From: Clinical Medicine of China 2009;25(5):516-518
CountryChina
Language:Chinese
Abstract: Objective To study the risk factors for intra-abdominal infection after pancreaticoduodenecto-my. Methods Clinical data of 101 cases undergoing pancreaticoduodenectomy in our hospital from January 1994 to January 2008 were reviewed retrospectively. The risk factors were analyzed. Results The incidence of intra-abdomi-hal infection was 12.9% (13/101). Univariate analysis showed postoperative pancreatic,biliary and intestinal fistu-la,pulmonary infection,preoperative acute cholangitis and texture of the remnant pancreas were the risk factors for intra-abdominal infection(P<0.05). Multivariate Logistic regression revealed that postoperative pancreatic, biliary and intestinal fistula, pulmonary infection, preoperative acute cholangitis were independent risk factors (OR = 11.914,9.891 and 7.197 ) of intra-abdominal infection after pancreaticoduodenectomy. Conclusion Preventing and curing pancreatic ,biliary and intestinal fistula, pulmonary infection, preoperative acute cholangitis can decrease the incidence of intra-abdominal infection.