Prevention and treatment of complications after duodenopancreatectomy

Abstract

Abstract: Objective To analyze the causes of the complications following duodenopancreatectomy and their prevention and treatment. Methods The clinical data of 36 cases receiving duodenopancreatectomy during the last decade were analyzed, including 13 cases of ampullary carcinoma, 8 cases of carcinoma of the pancreas head, 8 cases of distal cholangiocarcinoma, and 7 cases of carcinoma of the duodenal papilla. Results Complications occurred in 6 cases after duodenopancreatectomy including pancreatic fistula in 3 cases, bile duct fistula in 1 case, abdominal cavity hemorrhage in 1 case, and alimentary tract hemorrhage in 1 case, with an incidence rate of postoperative complications of 16.7% and death occurred in 2 cases. Conclusion Adequate measures should be taken to reduce such complications as pancreatic fistula, bile duct fistula, abdominal cavity hemorrhage, alimentary tract hemorrhage and abdominal cavity infection, and these measures include nutri- tional support, careful operation in the surgery with adequate drainage, and careful observation and nursing after the sugery.

CLC Number:

R657.5

WU Lian-hua¹, ZHANG Wei². Prevention and treatment of complications after duodenopancreatectomy[J]. Journal of Southern Medical University, 2005, 25(04): 461-463.

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