Curative Effect Analysis Of Duodenum-preserving Pancreatic Head Resection

Objective : To investigate the clinical effect of duodenal pancreaticotomy.Methods:Collected from January 2016 to December 2019 patients with pancreatic head benign lesions and in the course of the disease in patients with pancreatic head low grade materials,including preoperative(gender,age,nationality,weight,BMI,etc.)as well as the laboratory test results,whether associated with obstructive jaundice,intraoperative(operation time,blood loss,postoperative complications(including abdominal cavity infection,delayed gastric emptying,pancreatic leakage,bile leakage,postoperative bleeding,etc.)in the occurrence and the planned reoperation,unplanned readmission and other related clinical data,The intraoperative blood loss,operation time,postoperative complications,postoperative hospitalization time,ICU hospitalization time,postoperative symptom improvement of the patients in the short term after the operation were compared,and then the effects of the two surgical methods were compared.Results:Intraoperative blood loss was(413.79±30.25)ml in the DPPHR group and(724.44±26.09)ml in the PD group,with statistical difference between the two groups(P < 0.05).The operating time of the DPPHR group was(513.97±68.92)min and that of the PD group was(568.00±74.00)min,with no significant difference(P > 0.05).There was no significant difference in postoperative hospital stay between the DPPHR group(25.38±2.95)d and the PD group(24.73±2.33)(P > 0.05).The incidence of complications in the DPPHR group was lower than that in the PD group,and the difference was statistically significant(P < 0.05).Conclusion:Compared with PD,DPPHR had less intraoperative bleeding(P< 0.05)and lower incidence of perioperative complications(P < 0.05).There was no difference in the duration of surgery,the mean length of postoperative hospital stay and the incidence of unplanned surgery(P >,0.05).Comparing the PD group and the Begergroup,we can conclude that the PD group has less operative time,less postoperative hospital stay,and less complication rate,but more intraoperative bleeding than the Beger group.Comparing the PD group with the Berne group +Frey group,the Berne group+Frey group was superior to the PD group in terms of operation time,intraoperative bleeding,average postoperative hospital stay and postoperative complications.Operation time of Berne group and Frey group was shorter than that of Beger group(P < 0.05).However,there was no difference in bleeding,mean postoperative hospital stay and postoperative complication rate among different surgical methods(P >0.05).For the selection of surgical methods for patients with benign pancreatic head lesions,we should follow the principle of individual,vary from person to person,choose the most suitable surgical methods for patients,in order to achieve the best therapeutic effect.