腹腔镜胰十二指肠切除术并发症发生的相关因素分析

Analysis of the related factor of complications in patients treated with laparoscopic pancreaticoduodenectomy

目的:分析腹腔镜胰十二指肠切除术(LPD)病人并发症发生的相关因素。方法:分析240例LPD病人并发症发生情况及影响病人总并发症、胰瘘及术后出血的危险因素。结果:240例中发生并发症97例,其中胰瘘32例(32.99%),术后出血49例(50.52%),切口液化4例(4.12%),感染12例(12.37%)。logistic回归分析显示,影响病人总并发症的危险因素为年龄≥65岁和术中出血量≥200 m L,影响胰瘘的危险因素为年龄≥65岁和胰管直径≤3 mm,影响术后出血的危险因素为年龄≥65岁。结论:引起LPD病人并发症发生的相关因素较多,在围手术期应严格关注并监测相关指标,尽可能地防止并发症发生。

Objective： To analyze the related factors of complications in patients treated with laparoscopic pancreaticoduodenectomy（ LPD）. Methods： The incidence rate of complications and risk factors of total complications,pancreatic fistula and postoperative bleeding in 240 patients treated with LPD were analyzed. Results： The complication occurrence in 97 cases was found,which included32 cases of pancreatic fistula（ 32. 99%）,49 cases of postoperative bleeding（ 50. 52%）,4 cases of incision liquefaction（ 4. 12%） and12 cases of infection（ 12. 37%）. The results of logistic regression analysis showed that the age ≥65 years and bleeding volume ≥200 m L were the risk factors of influencing the total complications,the age ≥65 years and pancreatic duct diameter ≤3 mm were the risk factors of pancreatic fistula,and the age ≥65 years was the risk factor of influencing postoperative bleeding of patients. Conclusions：The risk factors influencing complication in patients treated with LPD is more. During the perioperative period,the related indicators should be closely paid attention to and monitored to prevent the incidence of complications.