Analysis of 68 cases for risk factors of early postoperative complications after Pancreatoduodenectomy
- VernacularTitle:68例胰十二指肠切除术后早期并发症危险因素分析
- Author:
Jinwei JIANG
- Publication Type:Journal Article
- Keywords:
Pancreatoduodenectomy;
Postoperative complications;
Risk factors
- From:
Journal of Chongqing Medical University
1986;0(03):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the risk factors of early postoperative complications in patients undergoing pancreatoduodenectomy and to analyse the causes and the measures for prevention and treatment of the complications.Methods:Clinical data of 68 patients undergoing pancreatoduodenectomy in our hospital from January 2002 to December 2007 were collected and analyzed retrospectively.Results:Postoperative complications occurred in 24 patients(35.3%).Of these 24 patients,4 died(5.9% of the total).We revealed that no billiary stent(OR=12.841),preoperative total serllm bilirubin level over 171.1 ?mol/L(OR=8.990),end-to-end pancreaticojejunostomy(OR=8.542),no pancreatic stent(OR=8.522),intraoperative blood transfusion over 1000 ml(OR=8.385) were important factors for early complications.Conclusions:The main complications after PD were pancreatic leakage,bile duct leakage and hemorrhage.Pancreatic stent,billiary stent,end-to-side mucosa-to-mucosa pancreaticojejunostomy and good surgical expertise can decrease early morbidity rate.
