Risk factors for pancreatic fistula after laparoscopic pancreaticoduodenectomy
10.3760/cma.j.cn113855-20191211-00732
- VernacularTitle:腹腔镜胰十二指肠切除术后临床胰瘘的危险因素
- Author:
Chaohui TANG
1
;
Yahui LIU
;
Wei ZHANG
;
Songyang LIU
;
Ludong TAN
;
Changxu LI
;
Yingchao WANG
Author Information
1. 吉林大学第一医院肝胆胰外二科,长春 130000
- From:
Chinese Journal of General Surgery
2020;35(10):797-800
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the preoperative and intraoperative risk factors of clinical pancreatic fistula after laparoscopic pancreaticoduodenectomy (LPD).Methods:Clinical data of 100 patients undergoing LPD at the Second Department of Hepatobiliary and Pancreatic Surgery of the First Hospital of Jilin University from Jan 2019 to May 2019 were studied.Results:The total incidence of pancreatic fistula was 8%, and the incidence of clinical pancreatic fistula (grade B, C) was 6%. Univariate analysis found that gender (male), preoperative pancreatic plain CT value <33HU, soft texture of the pancreas, long operation time, alcoholic consuming history may be risk factors for pancreatic fistula after LPD( P<0.05), and further multivariate analysis found gender (male), preoperative pancreatic plain CT value <33 HU, soft texture of the pancreas were independent risk factors for clinical pancreatic fistula after LPD( P<0.05). Conclusions:Male patients, preoperative pancreatic plain CT value <33HU, soft texture of the pancreas were respectively independent risk factors predicting post-LPD clinical pancreatic fistula.