Study On The Factors And Control Strategies Related Of Early Postoperative Complications After Pancreatoduodenectomy

Objective: Retrospective analysis of recent relevant literature on pancreaticoduodenectomy research status summary of early complications related control measures.And Discussion of different decompression tube placement method for pancreaticoduodenectomy early postoperative complications influence to reduce pancreaticoduodenectomy early postoperative complications, provide a reference for the future clinical work.Methods: A retrospective study of the First Hospital of Lanzhou University, October 2012-October 2014 line pancreaticoduodenectomy clinical data of patients, according to the decompression tube placed into different groups and pancreatic blind loop group, statistical analysis early postoperative complications were two groups of patients, and the patients were followed up to compare the impact of two different tube on early postoperative complications reduced pressure, the patient length of stay and hospital costs.Results: There were no significant differences in clinical data between 2 groups, the main complications were pancreatic Pancreatic fistula(7.2%), bile leakage(5.6%), delayed gastric emptying(2.4%), bleeding(4.0%), abdominal infection(2.4%), wound infection(2.4%),two groups fistula: pancreatic duct group(11.8%) and blind loop group(1.8%)(P<0.05); bile leakage: pancreatic duct group(7.4%)and blind loop group(3.5%); delayed gastric emptying: pancreatic duct group(1.5%) and blind loop group(3.5%); hemorrhage: pancreatic duct group(4.4%) and blind loop group(3.5%); abdominal infections: 1.5% in pancreatic duct group and 3.5% in blind loop group; resection infections: pancreatic duct group(1.5%) and blind loop group(3.5%); Postoperative hospitalization were 27.46±9.82 days in pancreatic duct group and 20.38±9.23 days in blind loop group, the differences were statistically significant; costs were 66 020(5.325-7.783) yuan in pancreatic duct group and 56 420(4.798-7.037) yuan in blind loop group, the differences were statistically significant.Conclusions: In this study, decompression tube placement is a factor pancreaticoduodenectomy pancreatic fistula, wherein the decompression tube placement with respect to the duct group, blind loop vacuum tube placement can be more effective in reducing postoperative pancreatic fistula.