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胰十二指肠切除术围手术期并发症分析

An analysis of postoperative complications in patients with pancreatlcoduodenectomy
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摘要 目的 探讨5年来实施的50例胰十二指肠切除术围手术期并发症。方法 应用胰十二指肠切除术治疗壶腹周围癌患者50例。结果 全组围手术期死亡率0%,并发症发生率26%(13/50),并发症中以切口感染发生率最高10%(5/50),严重并发症为多脏器功能衰竭(MOF)、成人呼吸窘迫综合征(ARDS)等。结论 虽然胰十二指肠切除术术后并发症发生率仍然较高,如对解剖结构熟悉,提高手术技巧及熟练程度,应用胰腺导管引流、TPN及重症监护呼吸机等新技术,可减少其严重并发症。 Objective To study the postoperative complications in patients with pancreaticodu-odenectomy. Methods Pancreaticoduodenectomy was used for the treatment of 50 patients with periampullary cancer. Results The incidence of the postoperative complication was 26%(13/50). The mortality was 0%. Wound infection was the most common complication 10% (5/50), and severe complications included MOF, ARDS, et al. Conclusions Although the postoperative complications were high, the severe complications were decreased.
出处 《胰腺病学》 2002年第2期98-99,共2页 Chinese JOurnal of Pancreatology
关键词 胰十二指肠切除术 围手术期 并发症 壶腹周围癌 Pancreaticoduodenectomy Postoperative Complication
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参考文献3

  • 1O'Neil S; Pickleman J: Aranha G.W. Gerard V. Aranha M.D. Pancreaticogastrostomy following pancreaticoduodenectomy: review of 102 consecutive cases. World J Surg, 2001,25:567-571
  • 2Berberat PO, Friess H, Kleeff J, et al. Prevention and treatment of comolications in pancreatic cancer surgery. Dig Surg, 1999, 16:327-336
  • 3Sauvanet A, Belghiti J. Prevention of pancreatic fistula after cephalic duodenopancreatectomy. Ann Chir,1999,53:612-617

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