胰体尾切除术后临床性胰瘘的危险因素分析.pdfVIP

Risk factors for Clinical Pancreatic Fistula after Distal Pancreatectomy Year 2007 Graduate ：YiPing Chen Tutor: ShangGeng Weng Abstract Objective: The aim of the current study is to summarize the clinical characters of the patients and to analyze the factors which may affect the risk of clinical pancreatic fistula formation. Methods: The clinical datas of 45 DP cases in the First Affiliated hospital of Fujian Medical University from January 2011 to December 2013 were analyzed retrospectively. The data include gender, age, BMI, preoperative complications, operation method, operation time, intraoperative blood loss, drainage tube pull out time, postoperative complications, and postoperative hospital stay, postoperative pathological results, etc . The risk factors for clinical pancreatic fistula were analyzed. Results: POPF by International Study Group of Pancreatic Fistula criteria occurred in 10 patients (22.2%)，and clinical PF in 9 patients （20% ）. On univariate analysis, multivisceral resection (P=0.048) and thickness of pancreas (P=0.001) were associated with higher clinical pancreatic fistula rates. On multivariate analysis, only the thickness of pancreas 14.5mm (P=0.048 ，OR=9.344，95%CI 1.021-85.525) was independently associated with clinical pancreatic fistula formation. Conclusions: Multivisceral resection and thickness of pancreas are associated with higher clinical pancreatic fistula rate