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The Risk Factors Analysis of Postoperative Complications after Pancreaticoduodenectomy

Author: WenGuiDe
Tutor: ZhaoZuo
School: Shanxi Medical
Course: General Surgery
Keywords: Pancreaticoduodenectomy Postoperative complications Risk factors Multivariate analysis
CLC: R656
Type: Master's thesis
Year: 2011
Downloads: 25
Quote: 0
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Abstract


Objective: multivariate analysis pancreaticoduodenectomy (PD) risk factors of postoperative complications , indications and technical basis for decision making for clinical purposes PD guidance preoperative preparation and postoperative prevention work . Methods: A retrospective analysis of 146 routine PD patient clinical data Shanxi Medical University Hospital from January 2000 to October 2010 , and by univariate analysis and multivariate analysis to evaluate the complications of the surgery and related risk factors . 146 patients underwent standard PD , average age 57.3 years , according to the lesion is divided into pancreas group ( 58 cases ) and the periampullary Group including the lower segment of the duodenum, ampulla and common bile duct tumors ( 88 cases ) . Results: ( 1 ) 146 regular in PD patients , 54 cases of postoperative complications (39.7 % ) , including infection complications in 18 cases (12.3%) , multiple organ dysfunction in 4 patients (2.7 %) , gastric emptying obstacles in 15 cases ( 10.3% ) , and bleeding complications in 10 patients ( 6.8% ) , pancreatic fistula in 7 patients ( 4% ) . The periampullary Group total complications compared to an increase in the pancreas group (P lt; 0.05). (2) multivariate analysis suggest that preoperative jaundice number of days an independent risk factor for postoperative complications , preoperative albumin levels and organ system complications ; infectious complications risk factors of age, an important organ system complications ; stomach emptying of risk factors , including preoperative hyperbilirubinemia and ALB level; risk factors for bleeding complications the ALB level before surgery ; risk factors for pancreatic fistula preoperative jaundice number of days , and there is an important organ system complications ; risk factors for multiple organ dysfunction syndrome (MODS) preoperative jaundice days , Cr level . Conclusion: Preoperative ALB level of jaundice days before surgery , major organ system complications , age , preoperative total bilirubin , direct bilirubin Cr level is an independent risk factor for PD of postoperative complications .

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CLC: > Medicine, health > Surgery > Of surgery > Abdominal surgery
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