外科理论与实践2017，Vol.22Issue(2)：129-133,5.DOI:10.16139/j.1007-9610.2017.02.010
腹腔镜胰十二指肠切除术后胰漏危险因素分析
Analysis of risk factors for pancreatic fistula after laparoscopic pancreaticoduodenectomy
邢中强 1王文斌 1吕海涛 1闫长青 1张建生 1张树彬 1刘学青 1周泽高 1刘建华1
作者信息
- 1. 河北医科大学第二医院肝胆外科, 河北 石家庄 050000
- 折叠
摘要
Abstract
Objective To analyze the risk factor of pancreatic fistula after laparoscopic pancreaticoduodenectomy. Methods The clinical data of 128 cases with laparoscopic pancreaticoduodenectomy performed from November 2013 to September 2016 in our hospital were retrospectively analyzed. The patients were divided into pancreatic fistula group and control group without fistula. The risk factor of pancreatic fistula and the mobidity with mortality were analyzed. Results Pancreatic fistula developed in 36(28.13%) patients after surgery. Ninty-two cases were in control group. There was no dif-ference of the factors including age, gender, preoperative albumin and total bilirubin, and operation time between pancreat-ic fistula group and control group. Body mass index (BMI), intraoperative blood loss and the mode of pancreatic anastomo-sis in pancreatic fistula group was different from those in control group (P<0.05). Only BMI was an independent risk factor for pancreatic fistula (P=0.029) when BMI more than 25. The cases with postoperative bleeding, abdominal infection and reoperation were more in pancreatic fistula group than in control group (P<0.05). The postoperative hospital stay and ICU stay was less in control group than that in pancreatic fistula group (P<0.05). No statistical difference was found in biliary fistula, gastric emptying disorder and mortality between two groups. Conclusions BMI is an independent risk factor for pancreatic fistula after laparoscopic pancreaticoduodenectomy.关键词
腹腔镜/胰十二指肠切除术/胰漏/术后并发症Key words
Laparoscopy/Pancreaticoduodenectomy/Pancratic fistula/Postoperation complication分类
医药卫生引用本文复制引用
邢中强,王文斌,吕海涛,闫长青,张建生,张树彬,刘学青,周泽高,刘建华..腹腔镜胰十二指肠切除术后胰漏危险因素分析[J].外科理论与实践,2017,22(2):129-133,5.
