Perioperative management of pancreaticoduodenectomy patients
10.3760/cma.j.issn.1007-8118.2014.07.010
- VernacularTitle:胰十二指肠切除术患者的围手术期处理
- Author:
Tongyou LIU
;
Wenzhi ZHANG
;
Yongliang CHEN
;
Xianjie SHI
;
Mingyi CHEN
;
Shouwang CAI
- Publication Type:Journal Article
- Keywords:
Pancreaticoduodenectomy;
Perioperative management;
Postoperative complication
- From:
Chinese Journal of Hepatobiliary Surgery
2014;20(7):514-518
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the perioperative treatment and reduce the surgical risk in patients after pancreaticoduodenectomy (PD).Methods We retrospectively analyzed the clinical data of 213 PD patients operated at the PLA General Hospital from January 2012 to December 2012.Results The postoperative complications included pancreatic fistula (51 cases,24%),biliary fistula (8 cases,3.8%),intestinal fistula (8 cases,3.8%),gastroparesis (35 cases,16.4%),abdominal infection (16 cases,7.5%),and postoperative bleeding (16 cases,7.5%).The perioperative mortality was 1.9% (4/213).Conclusion Strengthening the perioperative management of PD patients plays an important role in improving surgical safety and reducing postoperative complications.