Penumadu Prasanth, Barreto Savio G, Goel Mahesh, Shrikhande Shailesh V
Department of Gastrointestinal Surgical Oncology, Tata Memorial Center, Mumbai, India.
Department of Gastrointestinal Surgical Oncology, Tata Memorial Center, Mumbai, India ; GI Surgery, GI Oncology & Bariatric Surgery, Medanta Institute of Hepatobiliary & Digestive Sciences, Medanta, The Medicity, Gurgaon, India.
Indian J Surg Oncol. 2015 Mar;6(1):6-15. doi: 10.1007/s13193-013-0286-z. Epub 2014 Jan 19.
Increased awareness of periampullary & pancreatic head cancers, and the accompanying improved outcomes following pancreatoduodenectomy (PD), has possibly led to an increase in patients seeking treatment for the same. While there has definitely been a reduction in morbidity rates following PD in the last few decades, this decline has not mirrored the drastic fall in mortality. Amongst the foremost in the factors responsible for this reduction in mortality is the standardization of surgical technique and development of dedicated teams to manage all aspects of this demanding procedure. This review intends to provide the reader with an overview of major complications following this major surgery and measures to prevent them based on the authors' experience.
对壶腹周围癌和胰头癌的认识提高，以及随之而来的胰十二指肠切除术（PD）后预后改善，可能导致寻求相同治疗的患者增加。虽然在过去几十年中，PD后的发病率肯定有所下降，但这种下降并未反映出死亡率的急剧下降。导致死亡率下降的首要因素包括手术技术的标准化以及组建专门团队来管理这一复杂手术的各个方面。本综述旨在根据作者的经验，为读者提供该大型手术后主要并发症的概述以及预防措施。
