Risk factor analysis on early postoperative complications after pancreaticoduodenectomy
10.3760/cma.i.issn.1673-4904.2012.05.008
- VernacularTitle:影响胰十二指肠切除术后早期并发症的危险因素分析
- Author:
Jianjun SUN
;
Minsheng CHEN
- Publication Type:Journal Article
- Keywords:
Pancreaticoduodenectomy;
Postoperative complications;
Risk factors
- From:
Chinese Journal of Postgraduates of Medicine
2012;35(5):24-27
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo investigate the risk factors of early postoperative complications after pancreaticoduodenectomy.MethodsThe clinical data of 159 patients undergoing pancreaticoduodenectomy from March 2005 to October 2010 was analyzed retrospectively.The related factors of early postoperative complications were analyzed.ResultsThe incidence rate of early postoperative complications was 30.8% (49/159).Univariate analysis showed that preoperative fasting blood glucose level,total serum bilirubin level,serum albumin level,high density lipoproteins level and intraoperative bleeding were closely correlated with early postoperative complications in patients undergoing pancreaticoduodenectomy (P < 0.05),but gender,age,preoperative jaundice,history of diabetes mellitus,operation time and whether portal vein reconstruction were no significantly associated with early postoperative complications in patients undergoing pancreaticoduodenectomy (P > 0.05).Multivariate analysis showed that preoperative fasting blood glucose level( ≥6.1 mmol/L),total serum bilirubin level ( ≥ 171 μ mol/L) and serum albumin level( < 35 g/L) were the important independent risk factors of early postoperative complications in patients undergoing pancreaticoduodenectomy.ConclusionThe risk factors of pancreaticoduodenectomy should be fully recognized and dealt with promptly.