胰十二指肠切除术后并发症紧急处理策略

张涛; 郭诗翔; 杨佳丽; 余坷坪; 胡维书; 王槐志

doi:10.13201/j.issn.1009-5918.2021.03.005

胰十二指肠切除术后并发症紧急处理策略

- 中国科学院大学重庆医院肝胆胰腺外科研究所(重庆, 401147)
基金项目:
国家重点研发计划(No:2017YFC1308600)

国家自然科学基金面上项目(No:82072723)

重庆市科卫联合医学科研项目(No:2018QNXM031,2021MSXM344)

详细信息

通讯作者: 王槐志,E-mail:whuaizhi@gamil.com

中图分类号: R656

收稿日期: 2020-01-26

Emergency treatment strategy of postoperative complications after pancreaticoduodenectomy

- Department of Hepatobiliary and Pancreatic Surgery, Chongqing Hospital, University of Chinese Academy of Sciences, Chongqing, 401147, China

More Information

Corresponding author: WANG Huaizhi, E-mail: whuaizhi@gamil.com

Received Date: 26 January 2020

摘要

摘要: 目的:探讨胰十二指肠切除术后并发症的紧急处理策略。方法:回顾性分析2018年1月-2020年10月期间行胰十二指肠切除的154例患者的临床资料。结果:154例患者中,总并发症发生率27.27%(42/154),无术后死亡患者。其中包括胰瘘22例,胆瘘2例,出血8例,胃排空延迟7例,腹腔感染6例,腹腔积液7例,切口裂开1例。再次手术率5.19%(8/154),分别因腹腔内出血5例、胰瘘1例、腹腔感染1例、切口裂开1例,均治愈。结论:标准化的围手术期处理能够降低胰十二指肠切除术后并发症发生率,及时有效的并发症处理策略可实现零病死率。
- 胰十二指肠切除术 /
- 手术并发症 /
- 处理策略
Abstract: Objective: To investigate the emergency treatment strategy of complications after pancreaticoduodenectomy(PD).Methods: The clinical data of 154 patients undergoing PD from January 2018 to October 2020 was analyzed retrospectively.Results: Of 154 patients, postoperative complication rate was 27.27%(42/154), including 22 cases of pancreatic fistula, 2 cases of biliary fistula, 8 cases of hemorrhage, 7 cases of delayed gastric emptying, 6 cases of peritoneal infection, 7 cases of peritoneal effusion, and 1 case of incision dehiscence, and there was no postoperative death. The rate of reoperation was 5.19%(8/154), including 5 cases of intraperitoneal hemorrhage, 1 case of pancreatic fistula, 1 case of abdominal infection, and 1 case of incision dehiscence. All were cured.Conclusion: Standardized perioperative management can reduce the incidence of complications after PD, and timely and effective treatment of complications can achieve zero mortality in PD.
- pancreaticoduodenectomy /
- postoperative complication /
- treatment strategy

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