Clinical analysis of related risk factors for delayed hemorrhage after pancreaticoduodenectomy
10.3969/j.issn.1009-9905.2017.04.006
- VernacularTitle:胰头十二指肠切除术后迟发性出血相关因素分析
- Author:
Weichao YANG
;
Xianmin BU
;
Weiguang ZHOU
;
Feng WANG
;
Dengfeng HOU
;
Shengchao JIN
- Keywords:
Pancreaticoduodenectomy;
Delayed hemorrhage;
Bilirubin;
Pancreatic fistula;
Biliary fistula;
Abdominal infection
- From:
Chinese Journal of Current Advances in General Surgery
2017;20(4):272-275
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To invest the risk factors associated with delayed hemorrhage after pancreaticoduodenectomy occurred.Methods:A retrospective analysis was performed from January 2012 to June 2015 Shengjing hospital 511 cases of patients who accepted pancreaticoduodenectomy.Results:The incidence of PD postoperative delayed hemorrhage was 8.81％ (45/511).Univariate analysis shows:Preoperative bilirubin levels,pancreatic fistula,biliary fistula,postoperative abdominal infection are all the meaningful related factors(P＜0.05).With the application of multivariate logistic regression analysis,pancreatic fistula (OR=2.158) and abdominal infection (OR=3.051) were independent risk factors for postoperative delayed hemorrhages (P＜0.05).Conclusion:Dealing with the postoperative complications of PD like pancreatic fistula,abdominal infection and others,early detection and rapid diagnosis and correct treatment can effectively reduce the incidence of delayed hemorrhage.
