Objective To explore the situation and prevention of pancreaticoduodenectomy perioperative complications.
Methods The clinical data of 111 cases of pancreaticoduodenectomy were retrospectively analyzed, and the possible factor of complications was analyzed.
Results There were postoperative complications in 48 patients (43.2%), which one kind complication occurred in 25 cases, two kinds in 15 cases, and three kinds or more in 8 cases. Four cases (3.6%) died after operation.
Conclusions Pancreaticoduodenectomy is a higher risk surgery in abdominal operation. Strengthen perioperative prevention and treatment are important measures to reduce morbidity and mortality after pancreaticoduodenectomy.
Citation:
LU Feifei,ZHAO Haiping,HU Wenxiu,WANG Zhenxia,DONG Peide,.. Analysis of Perioperative Complications in Patients with Pancreaticoduodenectomy. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2013, 20(7): 728-731. doi:
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1. |
Hackert T, Büchler MW, Werner J. Surgical options in the management of pancreatic cancer[J]. Minerva Chir, 2009, 64(5):465-476.
|
2. |
赵玉沛. 做好胰头癌外科治疗的基本策略与思考[J]. 中华肝胆外科杂志, 2011, 17(1):1-3..
|
3. |
郭克建, 孟凡斌. 努力做好胰十二指肠切除术[J]. 中华消化外科杂志, 2011, 10(5):332-334..
|
4. |
Wente MN, Veit JA, Bassi C, et a1. Postpancreatectomy hemorrhage (PPH):an International Study Group of Pancreatic Surgery (ISGPS) definition[J]. Surgery, 2007, 142(1):20-25.
|
5. |
Reid-Lombardo KM, Farnell MB, Crippa S, et a1. Pancreatic anastomotic leakage after pancreaticoduodenectomy in 1 507 patients:a report from the pancreatic anastomotic leak study group[J]. J Gastrointest Surg, 2007, 11(11):1451-1459.
|
6. |
彭淑牖, 刘颖斌. 胰十二指肠切除术后并发症的处理[J]. 肝胆胰外科杂志, 2001, 13(2):57-58.
|
7. |
朱友国, 吴飞跃, 罗嘉, 等. 胰十二指肠切除术后并发症分析[J]. 中国普通外科杂志, 2011, 20(3):306-308.
|
8. |
Shrikhande SV, Qureshi SS, Rajneesh N, et al. Pancreatic anastomoses after pancreatitoduodenectomy:do we need further studies[J]. World J Srug, 2005, 29(12):1642-1649.
|
9. |
李江涛, 于源泉. 胰十二指肠切除术后胰瘘的处理[J]. 肝胆胰外科杂志, 2011, 19(6):412-414.
|
10. |
吕飞飞, 赵海平. 胰十二指肠切除术的早期并发症及危险因素分析(附71例报告)[J]. 中国普外基础与临床杂志, 2008, 15(3):205-206.
|
11. |
席鹏程, 时开网, 杨坤兴. 胰管内径对胰十二指肠切除术后胰瘘发生率的影响[J]. 中国普外基础与临床杂志, 2009, 16(8):609-612.
|
12. |
刘战培, 蒲青凡, 周勇. 233例胰十二指肠切除术后并发症及死亡危险因素多因素分析[J]. 中国普外基础与临床杂志,2008, 15(3):195-200.
|
13. |
徐来喜, 余少鸿, 何振平. 胰十二指肠切除术后严重并发症的防治体会[J]. 中国普外基础与临床杂志, 2006, 13(6):714-715.
|
14. |
孙备, 许守平, 姜洪池. 胰十二指肠切除术后胰瘘的有关问题[J]. 肝胆胰外科杂志, 2009, 21(3):85-87.
|
15. |
吕飞飞, 赵海平, 王震侠, 等. 胰十二指肠改良胰管空肠吻合预防胰瘘的临床研究[J]. 中国普外基础与临床杂志, 2012, 19(4):391-395.
|
16. |
赵海平, 欧阳晓辉, 董培德, 等. 胰十二指肠切除术改良胰管空肠吻合预防胰瘘[J]. 中国肿瘤临床, 2008, 35(1):54-56.
|
17. |
Tsirlis T, Vasiliades G, Koliopanos A, et al. Pancreatic leak related hemorrhage following pancreaticoduodenectomy. A case series[J]. JOP, 2009, 10(5):492-495.
|
18. |
Koukoutsis I, Bellagamba R, Morris-Stiff G, et al. Haemorrhagefollowing pancreaticoduodenectomy:risk factors and the importance of sentinel bleed[J]. Dig Surg, 2006, 23(4):224-228.
|
19. |
顾钧, 吴文广, 丁琦晨. 胰十二指肠切除术后出血的危险因素及其诊治[J]. 中国普外基础与临床杂志, 2012, 19(6):653-656.
|
20. |
Rajarathinam G, Kannan DG, Vimalraj V, et al. Post pancreaticoduodenectomy hemorrhage:outcome prediction based on new IGPS, clinical severity grading[J]. HPB (Oxford), 2008, 10(5):363-370.
|
21. |
王兴伟, 余翔, 李泉, 等. 胰十二指肠切除术后出血原因分析及治疗策略[J]. 中华普通外科学文献:电子版, 2012, 12(6):541-545.
|
22. |
杜正贵, 李波, 冯曦, 等. 胰十二指肠切除术后上消化道大出血的原因及对策[J]. 中国普外基础与临床杂志, 2008, 15(7): 511-514.
|
23. |
Puppala S, Patel J, McPherson S, et a1. Hemorrhagic complications after Whipple surgery:imaging and radiologic intervention[J]. AJR Am J Roentgenol, 2011, 196(1):192-197.
|
24. |
Schäfer M, Heinrich S, Pfammatter T, et a1. Management of delayed major visceral arterial bleeding after pancreatic surgery[J]. HPB (Oxford), 2011, 13(2):132-138.
|
25. |
严律南, 张延龄. 胰十二指肠切除术后主要并发症防治[J]. 中国现代手术学杂志, 2002, 6(3): 172-173.
|
- 1. Hackert T, Büchler MW, Werner J. Surgical options in the management of pancreatic cancer[J]. Minerva Chir, 2009, 64(5):465-476.
- 2. 赵玉沛. 做好胰头癌外科治疗的基本策略与思考[J]. 中华肝胆外科杂志, 2011, 17(1):1-3..
- 3. 郭克建, 孟凡斌. 努力做好胰十二指肠切除术[J]. 中华消化外科杂志, 2011, 10(5):332-334..
- 4. Wente MN, Veit JA, Bassi C, et a1. Postpancreatectomy hemorrhage (PPH):an International Study Group of Pancreatic Surgery (ISGPS) definition[J]. Surgery, 2007, 142(1):20-25.
- 5. Reid-Lombardo KM, Farnell MB, Crippa S, et a1. Pancreatic anastomotic leakage after pancreaticoduodenectomy in 1 507 patients:a report from the pancreatic anastomotic leak study group[J]. J Gastrointest Surg, 2007, 11(11):1451-1459.
- 6. 彭淑牖, 刘颖斌. 胰十二指肠切除术后并发症的处理[J]. 肝胆胰外科杂志, 2001, 13(2):57-58.
- 7. 朱友国, 吴飞跃, 罗嘉, 等. 胰十二指肠切除术后并发症分析[J]. 中国普通外科杂志, 2011, 20(3):306-308.
- 8. Shrikhande SV, Qureshi SS, Rajneesh N, et al. Pancreatic anastomoses after pancreatitoduodenectomy:do we need further studies[J]. World J Srug, 2005, 29(12):1642-1649.
- 9. 李江涛, 于源泉. 胰十二指肠切除术后胰瘘的处理[J]. 肝胆胰外科杂志, 2011, 19(6):412-414.
- 10. 吕飞飞, 赵海平. 胰十二指肠切除术的早期并发症及危险因素分析(附71例报告)[J]. 中国普外基础与临床杂志, 2008, 15(3):205-206.
- 11. 席鹏程, 时开网, 杨坤兴. 胰管内径对胰十二指肠切除术后胰瘘发生率的影响[J]. 中国普外基础与临床杂志, 2009, 16(8):609-612.
- 12. 刘战培, 蒲青凡, 周勇. 233例胰十二指肠切除术后并发症及死亡危险因素多因素分析[J]. 中国普外基础与临床杂志,2008, 15(3):195-200.
- 13. 徐来喜, 余少鸿, 何振平. 胰十二指肠切除术后严重并发症的防治体会[J]. 中国普外基础与临床杂志, 2006, 13(6):714-715.
- 14. 孙备, 许守平, 姜洪池. 胰十二指肠切除术后胰瘘的有关问题[J]. 肝胆胰外科杂志, 2009, 21(3):85-87.
- 15. 吕飞飞, 赵海平, 王震侠, 等. 胰十二指肠改良胰管空肠吻合预防胰瘘的临床研究[J]. 中国普外基础与临床杂志, 2012, 19(4):391-395.
- 16. 赵海平, 欧阳晓辉, 董培德, 等. 胰十二指肠切除术改良胰管空肠吻合预防胰瘘[J]. 中国肿瘤临床, 2008, 35(1):54-56.
- 17. Tsirlis T, Vasiliades G, Koliopanos A, et al. Pancreatic leak related hemorrhage following pancreaticoduodenectomy. A case series[J]. JOP, 2009, 10(5):492-495.
- 18. Koukoutsis I, Bellagamba R, Morris-Stiff G, et al. Haemorrhagefollowing pancreaticoduodenectomy:risk factors and the importance of sentinel bleed[J]. Dig Surg, 2006, 23(4):224-228.
- 19. 顾钧, 吴文广, 丁琦晨. 胰十二指肠切除术后出血的危险因素及其诊治[J]. 中国普外基础与临床杂志, 2012, 19(6):653-656.
- 20. Rajarathinam G, Kannan DG, Vimalraj V, et al. Post pancreaticoduodenectomy hemorrhage:outcome prediction based on new IGPS, clinical severity grading[J]. HPB (Oxford), 2008, 10(5):363-370.
- 21. 王兴伟, 余翔, 李泉, 等. 胰十二指肠切除术后出血原因分析及治疗策略[J]. 中华普通外科学文献:电子版, 2012, 12(6):541-545.
- 22. 杜正贵, 李波, 冯曦, 等. 胰十二指肠切除术后上消化道大出血的原因及对策[J]. 中国普外基础与临床杂志, 2008, 15(7): 511-514.
- 23. Puppala S, Patel J, McPherson S, et a1. Hemorrhagic complications after Whipple surgery:imaging and radiologic intervention[J]. AJR Am J Roentgenol, 2011, 196(1):192-197.
- 24. Schäfer M, Heinrich S, Pfammatter T, et a1. Management of delayed major visceral arterial bleeding after pancreatic surgery[J]. HPB (Oxford), 2011, 13(2):132-138.
- 25. 严律南, 张延龄. 胰十二指肠切除术后主要并发症防治[J]. 中国现代手术学杂志, 2002, 6(3): 172-173.