关键词: 胰十二指肠切除术, 胰肠吻合术, 胰漏

Abstract: 【Abstract】〓Objective〓To analyze postoperative complications of pancretoduod-enectomy (PD). Methods〓A retrospective review of 154 consecutive patients who underwent PD with pancreaticojejuno-stomy in recent 10 years was divided into the recent group of 105 cases and the long term group of 49 cases. Results〓The surgery-related complications was 18.1% in the recent group while was 32.7% in the long term group. The leak rate in the recent group was 4.8% and in the long term group 16.3%. The mean operation time in the recent group was 213.34±66.98 min and in the long term group 250.34±67.26 min. The mean hospital length of stay after PD was longer in the long term group (22.76±9.73)d as compared to the recent group.(18.45±7.11 d, P<0.05)..However there were no significant differences in bile fistula occurrence,.gastrointestinal and intraa-bdominal hemorrhage,gastroparalysis and infection, mortality and reoperation rate, operation time and intaoperative blood loss between the two groups..Conclusion〓Leakage of pancreatic is the key factor for the postoperative complications of PD, standard treatment, professional operation can effectively reduce the postoperative complications of PD.

Key words: Pancreatoduodenectomy, Pancreaticojejunostomy, Pancreatic fistula