Postoperative hemorrhage after laparoscopic pancreaticoduodenectomy
10.3760/cma.j.cn113884-20201209-00615
- VernacularTitle:腹腔镜胰十二指肠切除术后出血的相关分析与总结
- Author:
Guoguang LI
1
;
Wei CHENG
;
Meifu CHEN
;
Xinmin YIN
;
Xianbo SHEN
;
Xianhai MAO
;
Jun WANG
;
Xintian WANG
;
Chuang PENG
;
Bo JIANG
;
Botao CHEN
Author Information
1. 湖南省人民医院（湖南师范大学附属第一医院）肝胆医院 湖南师范大学胰腺疾病转化医学研究室，长沙 410005
- Keywords:
Laparoscopy;
Pancreaticoduodenectomy;
Hemorrhage
- From:
Chinese Journal of Hepatobiliary Surgery
2021;27(6):425-428
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To study and analyse the results of postoperative hemorrhage after laparoscopic pancreaticoduodenectomy (LPD).Methods:The clinical data of patients who underwent LPD from May 2011 to December 2019 at Hunan Provincial People's Hospital were retrospectively analyzed. The clinical characteristics of patients, onset time of postoperative hemorrhage, location of postoperative hemorrhage, postoperative biliary fistula, pancreatic fistula, infection and other short-term complications, reoperation and mortality rates were analyzed.Results:Of 356 patients who underwent LPD in this study, there were 200 males and 156 females, aged (58.0±10.5) years. The postoperative complication rate was 33.1% (118/356), the reoperation rate was 6.5% (23/356), and the mortality rate was 2.5% (9/356). The most common complications were postoperative hemorrhage [15.2% (54/356)], pancreatic fistula [14.6%(52/356)] and abdominal infection [13.8%(49/356)]. The onset time of postoperative hemorrhage was usually in the 1st - 14th day, and the highest rate of postoperative hemorrhage was 3.9% (14/356) on the first day after surgery. The postoperative hemorrhage rate then showed a downward trend, but increased again on the 7th day. The extraluminal hemorrhage locations were relatively widely distributed, and the incidence of gastrointestinal anastomotic hemorrhage in patients with intraluminal hemorrhage was the highest [67.9%(19/28)]. Of the 9 patients who died, 7 were related to postoperative bleeding.Conclusions:LPD resulted in a high incidence of complications. Postoperative hemorrhage was a complication that had the greatest impact on short-term recovery of patients. It was also an important cause of reoperation and death. In addition to postoperative bleeding caused by pancreatic fistula, gastrointestinal anastomotic bleeding was also clinically important.
