Significant impact factors of postoperative hemorrhage after pancreaticoduodenectomy
10.3760/cma.j.issn.1007-8118.2013.05.014
- VernacularTitle:胰十二指肠切除术后出血影响因素分析与处理
- Author:
Meng WANG
;
Guangyi WANG
;
Jun QI
;
Ping ZHANG
- Publication Type:Journal Article
- Keywords:
Pancreaticoduodenectomy;
Postoperative hemorrhage;
Statistical analysis
- From:
Chinese Journal of Hepatobiliary Surgery
2013;(5):367-369
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the significant impact factors of postoperative hemorrhage after pancreaticoduodenectomy.Method The clinical data of 154 patients who underwent pancreatieoduodeneetomy from Jan.2009 to Jun.2012 were retrospectively analyzed.Results The incidence of postoperative hemorrhage was 10.4％ (16/154).The mortality caused by this complication was 12.5％ (2/16).Among these patients,intra-abdominal hemorrhage occurred in seven patients,and gastrointestinal hemorrhage occurred in nine patients.One patient suffered from both these complications.There were five and two patients presenting with early or delayed intra-abdominal hemorrhage,respectively.Early and delayed gastrointestinal hemorrhage occurred in three and six patients,respec tively.Statistical analysis showed that infection (P=0.002,P＜ 0.01) and pancreatic fistula (P=0.048,P＜0.05) are significantly associated with postoperative hemorrhage.Conclusions Postoperative hemorrhage after pancreaticoduodenectomy is a severe complication.Adequate hemostasis and prevention of pancreatic fistula and infection are the key points in reducing postoperative hemorrhage.Proper treatments should be used according to the site,type of onset and severity of hemorrhage.
