Clinical application of operation procedure improvement and process optimization in pancreatoduodenectomy
10.3760/cma.j.issn.1008-6315.2016.03.020
- VernacularTitle:手术步骤改良和流程优化在胰十二指肠切除术中的临床应用
- Author:
Jian ZHANG
;
Guangsen HAN
;
Zhiqiang JIANG
;
Daohai WANG
- Publication Type:Journal Article
- Keywords:
Pancreatoduodenectomy;
Operation procedure improvement;
Process optimization
- From:
Clinical Medicine of China
2016;32(3):260-263
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the safety and feasibility of operation procedure improvement and process optimization for pancreatoduodenectomy.Methods The effect of the duation time of opertion and postoperative complications of operation procedure improvement and process optimization for pancreatoduodenectomy in 98 patients in the Tumour Hospital Affiliated to Zhengzhou University from August 2008 to May 2015 were retrospective analyzed.Results The duation time of opertion was 145-205 min,average time was 175 min.There were 5 cases (5.1％) of bile leakage,6 case (6.12％) of pancreatic fistula and 4 cases (4.08％) of hemorrhage,and laparotomy revealed that one of them with pancreas-intestinal anastomotic hemorrhage,the haemorrhage stop after sufficient drainage,but due to infection,organ failure,this case was dead half a year after the operation.The remaining patients recovered uneventfully through open drainage,partial flush,somatostatin application,and other conservative treatment.Conclusion The improved pancreatoduodenectomy can shorten operation time and reduce operation complication,is a safe and feasible method,and worthy of clinical popularization.
