【Abstract】 Objective To investigate the origin, prevention and treatment of postoperative complications and death rate after pancreaticoduodenectomy （PD）. Methods Retrospective study on the clinical materials of complications and death rate was done on 106 cases of PD performed in our hospital during July 1985 to December 2002. Results In this group, 37 cases (34.91%) had postoperative complications, and the incidence rate of severe complications was 19.81% (21/106), the death rate was 10.38% (11/106). Compared between the two groups with preoperative bilirubin gt;342 μmol/L and ≤342 μmol/L, the incidence of total complications increased evidently (P＜0.05), and the bleeding amount，infusion amount and operation time in those with complications or dead ones were evidently higher than those without complications (P＜0.05). Conclusion The safty and resectability of PD has improved evidently in recent years but good skills, careful operation, the experience of the operatior and careful perioperative treatment and nursing are of crucial importance to reduce the complications and death rate.
Citation：
ZHAI Gang,LI Qiang,DONG Jingxun,YANG Jun.. Relationship Between the Perioperative Status and Prognosis after Pancreaticoduodenectomy. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2006, 13(5): 518-520. doi:
Copy
| 1. |
Yeo CJ, Cameron JL, Sohn TA, et al. Six hundred fifty consecutive pancreaticoduodenectomies in the 1990s: pathology, complications, and outcomes [Ｊ]. Ann Surg， 1997; 226(3)∶248.
|
| 2. |
Burcharth F, Olsen SD, Trillingsgaard J. et al. Pancreaticoduodenectomy for periampullary cancen in patients more than 70 years of age [Ｊ]. Hepatogastroenterology， 2001; 48(40)∶1149.
|
| 3. |
黄志强主编. 胆道外科 [M]. 第1版. 济南： 山东科学技术出版社，2000∶200～201.
|
| 4. |
彭淑牖, 刘颖斌， 牟一平， 等. 捆绑术胰肠吻合术——150例临床应用 [Ｊ]. J Gastrointest Surg， 2003; 7(7)∶898.
|
| 5. |
Fennerty MB. Pathophysiology of the upper gastrointestinal tr-act in the critically ill patient: rationale for the therapeutic benefits of acid suppression [Ｊ]. Crit Care Med， 2002; 30(6 Suppl)∶S351.
|
- 1. Yeo CJ, Cameron JL, Sohn TA, et al. Six hundred fifty consecutive pancreaticoduodenectomies in the 1990s: pathology, complications, and outcomes [Ｊ]. Ann Surg， 1997; 226(3)∶248.
- 2. Burcharth F, Olsen SD, Trillingsgaard J. et al. Pancreaticoduodenectomy for periampullary cancen in patients more than 70 years of age [Ｊ]. Hepatogastroenterology， 2001; 48(40)∶1149.
- 3. 黄志强主编. 胆道外科 [M]. 第1版. 济南： 山东科学技术出版社，2000∶200～201.
- 4. 彭淑牖, 刘颖斌， 牟一平， 等. 捆绑术胰肠吻合术——150例临床应用 [Ｊ]. J Gastrointest Surg， 2003; 7(7)∶898.
- 5. Fennerty MB. Pathophysiology of the upper gastrointestinal tr-act in the critically ill patient: rationale for the therapeutic benefits of acid suppression [Ｊ]. Crit Care Med， 2002; 30(6 Suppl)∶S351.
