• 1. Department of Pancreatic Surgery, West China Hospital, Sichuan University, Chengdu 610041, P.R.China;
  • 2. Department of Hepatobiliary Surgery, Mianyang Central Hospital of Sichuan Province, Mianyang, Sichuan 621000, P.R.China;
PENG Bing, Email: pengbing84@hotmail.com
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Objective To investigate the occurrence and treatment of postoperative complications after laparoscopic laparoscopic pylorus-preserving pancreaticoduodenectomy (LPPPD) or pancreaticoduodenectomy (LPD). Method The clinical data of 130 patients undergoing LPD from October 2010 to December 2015 in West China Hospital of Sichuan University were analyzed retrospectively. Results Of 130 patients, postoperative complications occurred in 55 cases, including 24 cases of pancreatic fistula, 14 cases of gastric emptying disorder, 3 cases of anastomotic bleeding, 6 cases of peritoneal infection, 1 case of bile leakage, 1 case of venous thrombosis, 1 case of chylous leakage, 5 cases of peritoneal effusion, without the occurrence of stress ulcer and incision complications. There were significant difference in the incidence of pancreatic fistula (P=0.025), gastric emptying disorder (P=0.034), anastomotic bleeding (P=0.020), and peritoneal infection (P=0.016) among prophase group, metaphase group, and the later stage group. Conclusions The most common complication after LPD is pancreatic fistula. With the improvement of surgical techniques and procedures, incidences of some postoperative complications decreases gradually.

Citation: CHEN Sirui, CAI Yunqiang, PENG Bing. Treatment experience of postoperative complications after laparoscopic pancreati- coduodenectomy. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2017, 24(7): 819-824. doi: 10.7507/1007-9424.201609052 Copy

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