Risk factors for pancreatic fistula after distal pancreatectomy
10.3760/cma.j.issn.1007-631X.2015.05.003
- VernacularTitle:胰体尾切除术后胰瘘的危险因素分析
- Author:
Gaoqing WANG
;
Caide LU
;
Weiming YU
;
Zesheng WANG
;
Yongfei HUA
;
Tao PENG
- Publication Type:Journal Article
- Keywords:
Pancreatectomy;
Pancreatic fistula;
Pancreatic diseases
- From:
Chinese Journal of General Surgery
2015;30(5):344-347
- CountryChina
- Language:Chinese
-
Abstract:
Objective To find the potential risk factors for pancreatic fistula after distal pancreatectomy.Methods Clinical data of 125 cases of consecutive distal pancreatectomy in Ningbo Lihuili Hospital from January 2006 to June 2013 were retrospectively analyzed.Results In all the 125 patients with distal pancreatectomy,pancreatic fistula was the most common surgical complication (43/125,34.4%),including 27 cases of grade A fistula,16 cases of grade B pancreatic fistula.Multivariate analysis showed that the texture of the pancreas and main pancreatic duct ligation were the independent risk factors for pancreatic fistula (all P < 0.05).Conclusions Pancreatic fistula was the most common surgical complication of distal pancreatectomy.The texture of the pancreas and main pancreatic duct ligation effect the occurrence of postoperative pancreatic fistula.