Risk factors for early postoperative complications after pancreaticoduodenectomy
10.3760/cma.j.issn.1007-631X.2011.12.012
- VernacularTitle:胰十二指肠切除术后早期并发症的危险因素分析
- Author:
Xiang LIU
;
Bo WANG
;
Hanqing WU
;
Heshui WU
;
Chunyou WANG
- Publication Type:Journal Article
- Keywords:
Pancreaticoduodenectomy;
Postoperative complications;
Risk factors
- From:
Chinese Journal of General Surgery
2011;26(12):1008-1011
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate risk factors for early postoperative complications after pancreaticoduodenectomy(PD).Methods Clinical data of 221 patients undergoing PD in our hospital between September 2005 and January 2009 were collected and reviewed retrospectively,the risk factors in relation to early postoperative complications were analyzed with SPSS 15.0 software.Results The incidence of early postoperative complications was 17.6％.Univariate analysis showed that age ( ≥65 years),preoperative total serum bilirubin level ( ≥ 171 μmol/L),preoperative serum albumin level ( ≤30 g/L),intraoperative blood transfusion ( ≥ 1000 ml),operation time ( ≥5 h) were the relative risk factors,Logistic regression analysis revealed that age (≥ 65 years),preoperative serum albumin level ( ≤30 g/L),intraoperative blood transfusion ( ≥ 1000 ml),operation time ( ≥5 h) were the independent risk factors for early complications.Conclusions The risk of postoperative complications after PD is still high,so the dicision to perform a PD should be strictly balanced against its risk.For older or poor risk patients,preoperative management should be enhanced.The set up of surgical team may help standardize operation procedures control intraoperative bleeding,therefore decrease the incidence of postoperative complications after PD.
