老年人胰十二指肠切除术后并发症的临床分析

目的 探讨老年人胰十二指肠切除术(PD)后主要的并发症及防治方法.方法 回顾性分析我院采用PD术治疗的61例老年人胰胆管疾病患者的临床资料.结果 术后并发症发生率为29.51％( 18/61),死亡率为3.28％( 2/61).主要并发症为胰瘘2例(3.28％),上消化道出血3例(4.92％),腹腔内感染10例(16....

Clinical analysis of postoperative complications in elderly after pancreaticoduodenectomy

Objective To discuss the prevention and treatment of postoperative complications in elderly after panereatieoduodeneetomy （ PD ）. Methods The clinical data of 61 elderly patients （ 34 males and 27 females） undergoing PD were retrospectively reviewed. The incidence of complications and the prevention experience were analyzed. Results The incidence rate of postoperative complications was 29.51% （18/61）, and the mortality rate was 3.28% （2/61）. The main complications were pancreatic fistula in 2 cases （3.28%） , upper gastrointestinal bleeding in 3 （4.92%） , intra - abdominal infections in 10 （ 16.39% ）, abdominal bleeding in 3 （4.92%）, and gastroplegia in 6 （9.84%）. Conclusion The main postoperative complications after PD include pancreatic fistula, bleeding,intra - abdominal infection, and gastroplegia. Correct preoperative evaluation, appropriate method of panereatieojejunostomy, fine and reasonable intraoperative management, and active integrated traditional and western medical treatment of complications can effectively reduce the incidence of postoperative complications in elderly after PD.