Abstract:Objective:To discuss the causes and treatment methods for operative and postoperative bleeding of pancreatoduodenectomy.
Methods :The clinical data of 260 cases of pancreatoduodenectomy were retrospectively analysed.
Results:Twelve cases had massive bleeding during the operation and one patient died. The primary cause of bleeding was the injury of portal vein or superior mesenteric vein(10 cases) and superior mesenteric artery(2 cases).26 cases had massive postoperative bleeding and one patient died.The main causes were pancreaticogastrostomic anastomosis bleeding (17 cases) and gastrojejunostomic anastomosis bleeding(9 cases).
Conclusions:Careful preoperative assessment and meticulous surgical procedure are the key points to avoid severe bleeding during operation. The use of vascular surgical materials and techniques can effectively control severe bleeding during operation. Improvement of operative technique and peri-operative treatment can reduce the incidence of postoperative bleeding.