Prevention strategy and treatment principle of early postoperative hemorrhage after pancreaticoduodenectomy
10.3760/cma.j.cn113884-20200326-00166
- VernacularTitle:胰十二指肠切除术后早期出血的预防策略和处理原则
- Author:
Wenbing SUN
1
;
Changyu YAO
;
Shaohong WANG
Author Information
1. 首都医科大学附属北京朝阳医院西院肝胆胰脾外科，北京 100043
- Keywords:
Pancreaticoduodenectomy;
Early postoperative hemorrhage;
Complication;
Prevention;
Treatment
- From:
Chinese Journal of Hepatobiliary Surgery
2021;27(6):401-406
- CountryChina
- Language:Chinese
-
Abstract:
Early postoperative hemorrhage (EPOH) is a common complication of pancreaticoduodenectomy (PD) and a main cause of death. The cause of EPOH is related to inappropriate vascular treatment during the operation, which may be recognized as a technical failure and avoided theoretically. PD is characterized by varieties of tissues that need to be separated and resected, large wound surface, many operations such as vascular separation, dissection, resection and reconstruction, and complex anastomoses. Therefore, the causes of EPOH are complex and varied. The most effective measure to prevent EPOH is to handle the vessels carefully and properly during the operation. In this paper, we systematically summarized the blood vessels involved in PD procedure, and the treatment strategies of these potential bleeding sites, and the clinical thinking and treatment principles of EPOH, so as to improve the quality of vascular treatment in PD procedure and to prevent EPOH.
