[Risk factors for postoperative complications and in-hospital death in distal pancreatectomy].

Abstract

OBJECTIVE:

To explore the risk factors for postoperative complications and in-hospital death of distal pancreatectomy (DP).

METHODS:

Retrospective reviews were conducted for 223 patients undergoing distal pancreatectomy. Their perioperative data and postoperative rates of morbidity and mortality were collected. And the risk factors for postoperative complications and in-hospital death were analyzed.

RESULTS:

The overall morbidity rate of distal pancreatectomy was 26.9% (60/223). And mortality occurred in 3 patients (1.35%). Pancreatic fistula was the most common complication with an incidence rate of 19.3%. Univariate analysis identified location of tumor, operative duration, estimated intraoperative blood loss, use of stapler, splenectomy and multivisceral resection were risk factors for post-DP complications. And operative duration and estimated intraoperative blood loss contributed to in-hospital death after DP. Multivariate analysis revealed that operative duration was an independent factor for increased postoperative complication rate. No independent factor was found for overall in-hospital morbidity.

CONCLUSION:

Operative duration is an independent risk factor for postoperative complications. Other parameters have no significant effects on postoperative complications or overall in-hospital morbidity.

• Authors: Yongliang Chen, Zhiqiang Huang, Jiahong Dong, Wenzhi Zhang, Xiaoqiang Huang, Yanbin Wang, Mingyi Chen, Zhiwei Liu, Tao Wan, Jian Feng
• Journal: Zhonghua yi xue za zhi (Zhonghua Yi Xue Za Zhi) Vol. 95 Issue 2 Pg. 96-9 (Jan 13 2015) ISSN: 0376-2491 [Print] China
• PMID: 25876893 (Publication Type: Journal Article)

Topics

• Blood Loss, Surgical
• Hospitals
• Humans
• Multivariate Analysis
• Pancreatectomy
• Pancreatic Fistula
• Postoperative Complications
• Postoperative Period
• Retrospective Studies
• Risk Factors
• Splenectomy