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Risk Factors and Treatment of Early Complications after Pancreaticoduodenectomy

Author: WuXiaoYong
Tutor: ChenQiLong
School: Xinjiang Medical University
Course: Surgery
Keywords: Pancreaticoduodenectomy Postoperative complication Risk factors Treatment
CLC: R735
Type: Master's thesis
Year: 2008
Downloads: 41
Quote: 0
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Abstract


Objective: To study the risk factors for early complications and methods of treatments after Pancreaticoduodenectomy(PD). Methods: There were 79 patients undergoing PD at our hospital between January 1998 and December 2007.There were 56 males and 21 females. The median age was 62.2-year-old. All patients were divided into complication group and non- complication group according to the outcomes. Their clinical feature tab date and surgical factors were retrospectively analyzed. Results: The postoperative complication rate was 58.2%, the hospital mortality was13.9%.Logistic regression showed that the level of total bilirubin and liver function Child classification are the independent risk factors (P<0.05).Age, serum-albumin level, fasting serum glucose, hemoglobin, giving enteral nutrition or not postoperatively, the size of tumor, optimum or malignant tumor ,method of pancreaticojejunal anastomosis had no relation with early postoperative complications(P>0.05). Conclusions: PD was a complicated and dangerous operation. Postoperative mortality and morbidity were not only decided by the surgeon,s skills, but also the level of total bilirubin and liver function Child classification.

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