Complications after laparoscopic pancreaticoduodenectomy and establishment of predicting model for postoperative pancreatic fistula
10.3760/cma.j.cn113855-20200211-00071
- VernacularTitle:腹腔镜胰十二指肠切除术后并发症发生的危险因素分析及术后胰瘘风险预测模型的建立
- Author:
Haoran WU
1
;
Heng ZHANG
;
Xiaohui DUAN
;
Jianhui YANG
;
Zhen′an TIAN
;
Hongjian ZHANG
;
Fahui CHENG
;
Rongguang WEI
;
Yangjianpei XU
;
Xianhai MAO
Author Information
1. 湖南师范大学附属第一医院/湖南省人民医院肝胆外科（肝胆肿瘤研究室），长沙 410005；常德市第一人民医院普外科，湖南省 415000
- From:
Chinese Journal of General Surgery
2020;35(11):838-842
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the risk factors for overall complications after laparoscopic pancreaticoduodenectomy(LPD) and to establish postoperative pancreatic fistula prediction model for LPD.Methods:The clinical data of 176 patients undergoing LPD from Jan 2014 to Mar 2018 were retrospectively analyzed.Results:One died within 30 days. Five patients underwent reoperation. Seventy-three patients (41%) had complications including pancreatic fistula in 30 cases(17.0%), postoperative hemorrhage in 16 (9.1%); bile leakage in 10 (5.7%); abdominal infection in 6 (3.4%); wound infection in 4 (2.2%); pulmonary infection in 4 (2.2%); gastric emptying disorder in 3 (1.7%). Age, intraoperative blood loss, diabetes mellitus were risk factors for overall postoperative complications of LPD(all P<0.05); Age, male gender, pancreatic duct diameter, pancreas texture, lesion size were risk factors for pancreatic fistula after LPD(all P<0.05). Conclusions:Age, intraoperative blood loss, diabetes mellitus were risk factors for overall postoperative complications of LPD; Age, male gender, pancreatic duct diameter, pancreas texture, and lesion size were risk factors for pancreatic fistula after LPD.
