| 胰体尾切除术后胰瘘的相关性因素分析 |
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| 引用本文： | 郭石,卜献民,戴显伟. 胰体尾切除术后胰瘘的相关性因素分析[J]. 中华普外科手术学杂志(电子版), 2011, 5(4): 40-42,46. DOI: 10.3877/cma.j.issn.1674-3946.2011.04.088 |
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| 作者姓名： | 郭石 卜献民 戴显伟 |
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| 作者单位： | 1. 沈阳市苏家屯区中心医院普外科,110101
2. 中国医科大学附属盛京医院,肝胆胰肿瘤外科 |
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| 摘 要： | 目的探讨胰体尾切除术后胰瘘发生的相关性因素。方法回顾性总结了82例行胰体尾切除的患者术前、术中操作以及术后并发症和死亡率发生的情况,并分析和术后胰瘘发生的相关性因素。结果术后有36名患者出现并发症占43.9%（36/82）。其中胰瘘是最常见的并发症,发生率为37.8%（31/82）。其中是否结扎主胰管和术后胰瘘的发生具有明显的相关性（P=0.010）,而性别、年龄、是否并存糖尿病、胰腺的质地、术中失血量、是否预防性应用奥曲肽、是否用生物胶封闭胰腺断端、术后低蛋白血症和是否联合其它脏器切除均和胰瘘的发生无明显的相关性。结论胰体尾切除术后最常见的并发症仍然是胰瘘,术中单独结扎胰管可以减少胰瘘的发生率。
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| 关 键 词： | 胰腺肿瘤 胰腺切除术 胰腺瘘 胰体尾切除 |
Risk factors for pancreatic fistula after distal pancreatectomy |
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| GUO Shi,BU Xian-min,DAI Xian-wei. Risk factors for pancreatic fistula after distal pancreatectomy[J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Version, 2011, 5(4): 40-42,46. DOI: 10.3877/cma.j.issn.1674-3946.2011.04.088 |
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| Authors: | GUO Shi BU Xian-min DAI Xian-wei |
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| Affiliation: | GUO Shi,BU Xian-min,DAI Xian-wei.Department of General Surgery,Sujiatun Central Hospital,Shenyang110101,China,Department of Hepatobiliary and Pancreatic Oncology Surgery Shenjing Hospital,Shenyang 110004 |
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| Abstract: | Objective To investigate potential risk factors for pancreatic fistula(PF) after distal pancreatectomy.Methods We retrospectively reviewed 82 patients who had undergone distal pancreatectomy.The perioperative data and postoperative morbidity and mortality were collected.The risk factors for postoperative PF were analyzed.Results Of the 82 patients enrolled in the study,36 patients(43.9%) developed postoperative complications.PF was the most common complication with an incidence of 37.8%(31/82).Ligation of t... |
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| Keywords: | Pancveatic neoplasms Pancreatectomy Pancreatic fistula Distal pancreatectomy |
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