Abstract:Objective:To review the experience in perioperalive management of 324 consecutive cases of pancreatico-duodenectomy (PD).
Methods :The clinical data of 324 cases of PD were analyzed retrospectively. All underwent PD successfully, 275 cases received the standard PD, while, 49 cases had pylorus preserving PD.Digestive tract reconstruction was done by Child method. Pancreatointestinal anastomosis was performed by pancreas stump intussussception in 303 cases, and end-to-side anastomosis in 21 cases.
Results:The 30 day mortality rate was 0.3% (1/324). Complicalion rate was 8.0%, included one case of liver dysfunction, 7 cases with pancreatic fistula and intraabdomind bleeding, 1 case of stenosis of pancreaticoenteral anastomosis, 3 cases with pancreatic dysfunction, 4 cases with gastroenteral anastomosis ulcer, 6 cases with delayed gastric emptying, 1 with reflux of bile and 3 with lymphatic fistula.
Conclusions:Perioperative managemen for pancreaticoduodenectomy is crucial for patient prognosis. Carful perioperative management can decrease postoperative complications and ensure smooth recover of these patients.