胰十二指肠切除术围手术期并发症临床分析

Analysis of Perioperative Complications in Patients with Pancreaticoduodenectomy

目的探讨胰十二指肠切除术围手术期并发症的发生情况及其预防。方法回顾性分析111例胰十二指肠切除术患者的临床资料,分析并发症发生的可能因素。结果 111例患者中术后出现并发症48例(43.2%),其中发生1种并发症者25例,2种者15例,3种者及以上者8例;死亡4例(3.6%)。结论胰十二指肠切除术是腹部外科中有较高风险的手术,加强围手术期预防及处理是降低胰十二指肠切除术后并发症发生率和死亡率的重要措施。

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.