Research on the risk factors and management of delayed hemorrhage after pancreatoduodenectomy

VernacularTitle:胰十二指肠切除术后晚期出血的原因及治疗
Author: Mingfei LIN ¹ ; Qinfu WEN
Author Information

1. 571300,海南省文昌市人民医院心胸甲乳外科
Keywords: pancreatoduodenectomy; delayed hemorrhage; pancreatic leakage; sentinel bleeding
From: Journal of Clinical Surgery 2017;25(10):749-751
CountryChina
Language:Chinese
Abstract: Objective To investigate the risk factors and management of delayed hemorrhage after pancreatoduodenectomy.Methods A retrospective analysis of delayed hemorrhage after the pancreatoduodenectomy in 136 patients was performed.Results In 136 patients,delayed hemorrhage occurred in 19 cases,and the incidence rate was 14.0％ (19/136).10 cases was severe hemorrhage,and sentinel bleeding occurred in 6 cases,also 5 died due to the intra-abdominal infection and MODS.Conclusion Delayed hemorrhage after the pancreatoduodenectomy is closely related to pseudoaneurysm,bleeding due to arteriorrhexis,bleeding of the pancreas' stump.Meanwhile abdominal infection and MODS may be the main reason of the patients' death.Pre-operative preparation,best operation skills and proper post-operation management are the key points to the prevention and treatment of delayed hemorrhage.