Risk factors and treatment of early complications after pancreaticoduodenectomy
- VernacularTitle:胰十二指肠切除术后早期并发症危险因素分析及对策
- Author:
Xiaoyong WU
;
Qilong CHEN
- Publication Type:Journal Article
- Keywords:
Pancreaticoduodenectomy;
Postoperative Complication/ther;
Risk Factors;
Logistic Models
- From:
Chinese Journal of General Surgery
2001;0(09):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the risk factors of early complications and methods of treatment after pancreaticoduodenectomy(PD).Methods There were 79 patients who undercoent PD at our hospital between January 1998 and December 2007.All of the patients were divided into complication group and non-complication group according to the outcomes.Their clinical features,preoperative tests,and surgical factors were retrospectively analyzed.Results The postoperative complication rate was 58.2%,and the hospital mortality was13.9%.Logistic regression showed that the level of total bilirubin and liver function classification were the independent risk factors(P0.05).Conclusions The early complications after PD are closely related to the preoperative level of serum bilirubin and liver function.Proper periopertive management can effectively decrease the occurrence of pancreatic leakage and other postoperative compliccations.
