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老年患者行胰十二指肠切除术的围手术期处理 被引量:3

Perioperative care of elderly pancreatoduodenectomy patients
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摘要 目的:总结老年患者行胰十二指肠切除术的围手术期处理的经验。方法:回顾性分析2001年1月~2009年1月我院收治的70例60岁以上老年胰十二指肠切除术患者的临床资料。结果:治愈率为95.7%,并发症发生率为45.7%,病死率为4.3%。结论:加强老年胰十二指肠切除术患者的围手术期处理,可有效防治术后并发症,提高治愈率。 Objective: To sum up the experiences in perioperative care of elderly pancreatoduodenectomy patients. Methods: Clinical data of 70 elderly patients that underwent pancreatoduodenectomy during January, 2001 and January, 2009 were analyzed retrospectively. Results: The total recovery rate, complication incidence and mortality were 95.7% ,45.7% and 4.3% separately. Conclusions:Proper perioperative care of elderly pancreaticoduodenectomy patients can prevent postoperative complications and improve curative rate of the surgery.
出处 《海南医学院学报》 CAS 2009年第11期1443-1445,共3页 Journal of Hainan Medical University
基金 海南医学院科研基金资助学报项目(0020090248)~~
关键词 胰腺 十二指肠 外科手术 老年人 Pancreas Duodenum Surgery Elder
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  • 1Thomas C, Bottger TC, Junginger T. Factors influencing morbidity and mortality after pancreaticoduodenectomy: Critical analysis of 221 resections. World J Surg, 1999,23 : 164-172.
  • 2Lin JW, Cameron JL, Yeo CJ, et al. Risk factors and outcomes in postpancreaticoduodenectomy pancreaticocutaneous fistula. J Gastrointest Surg, 2004,8:951-959.
  • 3Alexakis N,Halloran C,Raraty M,et al.Current standards of surgery for pancreatic cancer[J].Br J Sury,2004,91 (10):1410~1427.
  • 4Yii MK,Ng KJ.Risk-adjusted surgical audit with the POSSUM scoring system in a developing country.Physiological and Operative Severity Score for the enUmeration of Mortality and morbidity[J].Br J Surg,2002,89(1):110~132.
  • 5Tekkis PP,Prytherch DR,Kocher HM,et al.Development of a dedicated risk-adjustment scoring system for colorectal surgery (colorectal POSSUM)[J].BrJ Surg,2004,91(9):1174~1182.
  • 6Ramkumar T,Ng V,Fowler L,et al.A comparison of POSSUM,P-POSSUM and colorectal POSSUM for the prediction of postoperative mortality in patients undergoing colorectal resection[J].Dis Colon Rectum,2006,49(3):330~335.
  • 7Lam CM,Fan ST,Yuen AW,et al.Validation of POSSUM scoring systems for audit of major hepatectomy[J].Br J Surg,2004,91(4):450~454.
  • 8Khan AW,Shah SR,Agarwal AK.Davidson BR.Evaluation of the POSSUM scoring system for comparative audit in pancreatic surgery[J].Dig Surg,2003,20(6):539~545.
  • 9Markus PM,Martell J,Leister I,et al.Predicting postoperative morbidity by clinical assessment[J].Br J Surg,2005,92 (1):101~106.
  • 10杨勇,全志伟,沈定丰,杜隽铭,董谦.术后早期肠内免疫营养对老年胰腺癌、胃癌患者免疫的影响[J].胰腺病学,2002,2(3):155-158. 被引量:5

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  • 1程庆保,张柏和,张宝华,张永杰,姜小清,易滨,罗祥基,吴孟超.胰十二指肠切除术后早期并发症危险因素分析[J].中华普通外科杂志,2005,20(11):684-685. 被引量:19
  • 2申铭,薛新波,钱家勤,秦仁义.早期肠内营养在高龄患者胰十二指肠切除术后的应用[J].华南国防医学杂志,2006,20(3):14-16. 被引量:2
  • 3Poon RT,Lo SH,Fong D,et al.Prevention of pancreatic anastomotic leakage after pancreaticoduodenectomy[J].Am J Surg,2002,183(1):42.
  • 4Kleespies A,Albertsmeier M,Obeidat F,et al.The challenge of pancreatic anastomosis[J].Langenbecks Arch Surg,2008,393(4):459.
  • 5Veillette G,Dominguez I,Ferrone C,et al.Implications and management of pancreatic fistulas following pancreaticoduodenectomy:the Massachusetts General Hospital experience[J].Arch Surg,2008,143(5):476.
  • 6Suc B,Msika S,Fingerhut A,et al.Temporary fibrin glue occlusion of the main pancreatic duct in the prevention of intra-abdominal complications after pancreatic resection:prospective randomized trial[J].Ann Surg,2003,237(1):57.
  • 7Bartoli FG,Arnone GB,Ravera G,et al.Pancreatic fistula and relative mortality in malignant disease after pancreaticoduodenectomy.Review and statistical meta-analysis regarding 15 years of literature[J].Anticancer Res,1991,11(5):1831.
  • 8Conlon KC,Labow D,Leung D,et al.Prospective randomized clinical trial of the value of intraperitoneal drainage after pancreatic resection[J].Ann Surg,2001,234(4):487.
  • 9Yeo CJ,Cameron JL,Lillemoe KD,et al.Does prophylactic octreotide decrease the rates of pancreatic fistula and other complications after pancreaticoduodenectomy Results of a prospective randomized placebo-controlled trial[J].Ann Surg,2000,232(3):419.
  • 10黄志强.黄志强胆道外科[M].济南:山东科学技术出版社,2000.198-201.

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