Postpancreaticoduodenectomy hemorrhage: a report of 34 patients
10.3760/cma.j.issn.1007-8118.2012.12.007
- VernacularTitle:胰十二指肠切除术后出血34例临床分析
- Author:
Bingqi MA
;
Shun ZHANG
;
Bin ZHANG
;
Liqun WU
;
Shenglong ZHANG
;
Chengyu SHI
;
Haifeng Lü
- Publication Type:Journal Article
- Keywords:
Pancreaticoduodenectomy;
Postoperative hemorrhage;
Postoperative complications
- From:
Chinese Journal of Hepatobiliary Surgery
2012;(12):908-911
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the cause,prevention and treatment of postpancreaticoduodenectomy hemorrhage.Method The clinical data of 422 patients who underwent PD in our hospital between January 2000 and January 2012 were retrospective analyzed.Results The incidence of postoperative hemorrhage was 8.1％ (34/422),and the mortality was 20.6％ (7/34).Early and delayed hemorrhage occurred in 19 and 15 patients,respectively.Intra-abdominal and gastrointestinal hemorrhage occurred in 20 and 14 patients,respectively.For the 19 patients who underwent reoperation,the mortality was 20.6％ (7/34).When compared with the delayed hemorrhage group,the mortality of the early hemorrhage group was significantly lower (P＜0.05).Conclusions Meticulous operation and reliable hemostasis during operation and prevention of pancreatic fistula,biliary fistula and peritoneal fluid collection after operation are the key points in reducing postoperative hemorrhage.A timely and decisive reoperation is important to manage postoperative hemorrhage.
