Fahy Bridget N, Frey Charles F, Ho Hung S, Beckett Laurel, Bold Richard J
Department of Surgery, University of California, Davis, Sacramento, CA, USA.
Am J Surg. 2002 Mar;183(3):237-41. doi: 10.1016/s0002-9610(02)00790-0.
Pancreatic leak is a major source of morbidity associated with pancreatic surgery. We sought to identify disease and technique-dependent factors associated with morbidity and mortality after distal pancreatectomy.
Retrospective review of patients who underwent distal pancreatectomy during a 5-year period. Clinical, technical, and pathologic data were correlated with operative morbidity or mortality.
Fifty-one patients underwent distal pancreatectomy for primary pancreatic disease, extrapancreatic malignancy, or trauma. Overall perioperative mortality and morbidity rates were 4% and 47%, respectively. Pancreatic leak was the most common complication, occurring in 26% of patients. Overall complications and pancreatic leaks occurred more often after distal pancreatectomy for trauma and in patients with a sutured pancreatic stump closure.
Distal pancreatectomy can be performed with a low rate of mortality, though pancreatic leak is a common cause of morbidity. The urgency of the procedure and the method of pancreatic stump closure may influence postoperative morbidity.
胰瘘是胰腺手术相关发病的主要来源。我们试图确定与胰体尾切除术后发病和死亡相关的疾病及技术相关因素。
回顾性分析5年内接受胰体尾切除术的患者。将临床、技术和病理数据与手术发病率或死亡率相关联。
51例患者因原发性胰腺疾病、胰腺外恶性肿瘤或外伤接受了胰体尾切除术。围手术期总体死亡率和发病率分别为4%和47%。胰瘘是最常见的并发症，发生在26%的患者中。总体并发症和胰瘘在因外伤行胰体尾切除术后以及采用缝合胰残端闭合的患者中更常发生。
胰体尾切除术可在低死亡率下进行，尽管胰瘘是发病的常见原因。手术的紧迫性和胰残端闭合方法可能影响术后发病率。
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