The impact of blood transfusion on postoperative short-term results of pancreaticoduodenectomy: a comparative study on 356 patients
10.3760/cma.j.issn.1007-8118.2012.12.005
- VernacularTitle:胰十二指肠切除术中输血与未输血者356例比较分析
- Author:
Junchao XU
;
Bei SUN
;
Jun LI
;
Hongtao TAN
;
Xuewei BAI
;
Hua CHEN
;
Gang WANG
;
Rui KONG
;
Panquan LI
;
Linfeng WU
;
Jie LIU
;
Xiangsong WU
;
Hongchi JIANG
- Publication Type:Journal Article
- Keywords:
Pancreaticoduodenectomy;
Blood transfusion
- From:
Chinese Journal of Hepatobiliary Surgery
2012;(12):901-904
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the impact of blood transfusion on postoperative complications of pancreaticoduodenectomy.Methods The medical data of 356 patients who underwent pancreaticoduodenectomy from January 2005 to December 2011 were retrospectively analyzed.242 patients in the transfusion group received blood transfusion while the remaining patients in the non transfusion group received no blood transfusion.Results The rates of pancreatic fistula and pulmonary infection,mean operative time,intraoperative blood loss,and hospital stay were 17.8％,16.5％,6.4 h,920.0 ml and 29.1 d in the transfusion group compared with 8.8％,6.1％,5.4 h,150.0 ml and 25.9 d in the non-transfusion group,respectively (P＜0.05).However,there were no significant differences between the two groups in the rates of biliary fistula,gastrointestinal and intraabdominal bleeding,delayed gastric emptying and death.Conclusions Patients undergoing pancreaticoduodenectomy in the non-transfusion group had significantly lower rates of pancreatic fistula and pulmonary infection,shorter operative time and hospital stay,and less intraoperative blood loss.This study suggested that a reduction in intraoperative blood loss by advanced instruments and techniques,with operations carried out by experienced pancreatic surgeons in specialized pancreatic center,could result in a significantly lower postoperative complication rate.
