Clinical effect of pylorus-preserving pancreatico duodenectomy
10.3969/j.issn.1671-8348.2015.02.028
- VernacularTitle:保留幽门十二指肠胰头切除术的临床疗效分析
- Author:
Wei FAN
;
Qiang XUE
;
Shengkai CHEN
;
Xiaochun WU
- Publication Type:Journal Article
- Keywords:
pancreaticoduodenectomy;
Pylorus-preserving;
postoperative complication
- From:
Chongqing Medicine
2015;(2):226-228
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the operation situation of pancreatico duodenectomy (PD) and pylorus‐preserving pancreatico duodenectomy (PPPD) ,and analyze the clinical efficacy of PPPD .Methods Data of 47 patients with periampullary carcinoma and pancreatic head carcinoma underwent pancreatico duodenectomy from January 2010 to December 2013 were retrospectively analyzed and divided into PPPD group (20 cases) and PD group (27 cases) according to different surgery method .Then compare the situa‐tion of intra‐operative and post‐operative situation in two groups of patients .Results The operation time of PPPD group was sig‐nificantly lower than that of PD group (P<0 .05);the incidence of postoperative complication rate of PPPD group was obviously lower than PD group (P< 0 .05);and postoperative infection rate of PPPD group was significantly lower than PD group (P<0 .05);there was no significant difference between two groups in pancreatic leakage ,bile leakage ,gastrointestinal leakage ,post oper‐ative bleeding ,mortality and the incidence of delayed gastric emptying after surgery (P>0 .05) .Conclusion PPPD operation could shorten the operation time ,promote post‐operative recovery ,lower complication rates and shorten hospitalization time ,and could al‐so help to improve the nutritional status of patients ,improve the postoperative quality of life of patients ,thus it should be further promoted .
