Clinical analysis of post pancreatoduodenectomy hemorrhage / 中华外科杂志
Chinese Journal of Surgery
;
(12): 1553-1556, 2008.
Article
in Chinese
| WPRIM
| ID: wpr-258327
ABSTRACT
<p><b>OBJECTIVE</b>To explore the factors of post pancreatoduodenectomy hemorrhage.</p><p><b>METHODS</b>The clinical data of 263 cases between January 1998 and April 2008 underwent pancreatoduodenectomy were analyzed prospectively.</p><p><b>RESULTS</b>The overall mortality rate was 4.94% (13/263). Postoperative bleeding occurred in 23 patients (8.75%), with 8 episodes ending fatally (34.8%). The tumor size, Child classification, caput total resection and pancreatic leakage were identified as significant risk factors for post pancreatoduodenectomy hemorrhage by means of univariate analysis. The multivariate Logistic regression analysis revealed that all of the five factors turned out to be the independent risk factors.</p><p><b>CONCLUSIONS</b>The prevention of these bleeding complications depends in the first place on meticulous hemostatic technique. The pancreatic leakage is also one of the most important factors due to postoperative bleeding. The prophylactic use of somatostatin is not necessary.</p>
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Therapeutics
/
Retrospective Studies
/
Risk Factors
/
Pancreaticoduodenectomy
/
Postoperative Hemorrhage
/
Diagnosis
Type of study:
Diagnostic study
/
Etiology study
/
Observational study
/
Prognostic study
/
Risk factors
Limits:
Adolescent
/
Adult
/
Aged
/
Aged80
/
Child
/
Female
/
Humans
/
Male
Language:
Chinese
Journal:
Chinese Journal of Surgery
Year:
2008
Type:
Article
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