Objective:To study the risk factors of early complications and methods of treatment after pancreaticoduodenectomy(PD).
Methods:There were 79 patients who undercoent PD at our hospital between January 1998 and December 2007. All of the patients were divided into complication group and non-complication group according to the outcomes. Their clinical features, preoperative tests, and surgical factors were retrospectively analyzed.
Results:The postoperative complication rate was 58.2%,and the hospital mortality was13.9%.Logistic regression showed that the level of total bilirubin and liver function classification were the independent risk factors(P＜0.05).Age, serum-albumin level, fasting serum glucose, hemoglobin, giving enteral nutrition or not postoperatively, the size of tumor, benign or malignant tumor,and method of pancreaticojejunal anastomosis  had no relation with early  postoperative complications(P>0.05).
Conclusions:The early complications after PD are closely related to the preoperative level of serum bilirubin and liver function. Proper periopertive management can effectively decrease the occurrence of pancreatic leakage and other postoperative compliccations.