CAJ | 학술논문

目的探讨分析我院胰十二指肠切除术(PD)患者围手术期的临床资料,以降低围手术期风险.方法回顾性分析总结解放军总医院2012年1月至2012年12月213例PD患者的临床资料.结果 213例患者均成功行PD,术后主要并发症包括胰瘘51例(24％)、胆瘘8例(3.8％)、肠瘘8例(3.8％)、胃瘫35例(16.4％)、腹腔感染16例(7.5％)、术后出血16例(7.5％)、术后死亡4例(1.9％).结论加强PD患者的围手术期管理对于提高PD手术的安全性和降低术后并发症的发生有重要意义.
목적 탐토분석아원이십이지장절제술(PD)환자위수술기적림상자료,이강저위수술기풍험.방법 회고성분석총결해방군총의원2012년1월지2012년12월213례PD환자적림상자료.결과 213례환자균성공행PD,술후주요병발증포괄이루51례(24％)、담루8례(3.8％)、장루8례(3.8％)、위탄35례(16.4％)、복강감염16례(7.5％)、술후출혈16례(7.5％)、술후사망4례(1.9％).결론 가강PD환자적위수술기관리대우제고PD수술적안전성화강저술후병발증적발생유중요의의.
Objective To investigate the perioperative treatment and reduce the surgical risk in patients after pancreaticoduodenectomy (PD).Methods We retrospectively analyzed the clinical data of 213 PD patients operated at the PLA General Hospital from January 2012 to December 2012.Results The postoperative complications included pancreatic fistula (51 cases,24％),biliary fistula (8 cases,3.8％),intestinal fistula (8 cases,3.8％),gastroparesis (35 cases,16.4％),abdominal infection (16 cases,7.5％),and postoperative bleeding (16 cases,7.5％).The perioperative mortality was 1.9％ (4/213).Conclusion Strengthening the perioperative management of PD patients plays an important role in improving surgical safety and reducing postoperative complications.