Experiences of reducing complications of post-pancreaticoduodenectomy (report of 62 cases)

Objective To discuss the treatment of complications post-pancreticoduedenectomy by reviewing the experiences from 62 cases.Methods Sixty-two cases of pancreticoduedenectomy from March 2001 to April 2011,mean age 59.3 ±4.1 years,were reviewed.All cases were divided into early group 24 cases and recent group (38 cases) by the difference in following aspects:perioperative management,the way of pancreatic bowel anastomosis and material choice,the vessels management,materials using in preventing leakage and bleeding.The differences in leakage,bleeding,infection,the stomach retention,biliary infections,liver abscess and incision infection in two groups were compared.Results The early group showed pancreatic leakage in 10 cases,bleeding in 4 cases,celiac infection in 10 cases,gastric retention in 9 cases,biliary infections in 11 cases,liver abscess in 6 and infection of incision in 7 cases,respectively.Recent groups were in 4,0,0,0,1,2 and 3 cases,respectively.The comparisons showed the complications had reduced significantly in recent group than in the early group (x2 =77.08,P ＜ 0.001 ).Conclusions Minimally invasive and high quality materials use,strengthening the perioperative management are the effective measures to reduce the postoperative complications. Key words: Pancreaticoduoenectomy;  Postoperative complications ;  Minimally invasive