Intraabdominal hemorrhage after a pancreatectomy
Intraabdominal hemorrhage after a pancreatectomy
复制标题
DOI：
10.1007/s00534-007-1303-9
复制
发表时间：
2008-05-01
期刊：
影响因子：
--
通讯作者：
Yamaue, Hiroki
中科院分区：
文献类型：
--
作者：
Tani, Masaji;Kawai, Manabu;Yamaue, Hiroki
胰头切除术后的发病率仍然很高，在 22% 至 65% 之间。 1–10 胰瘘和胃排空延迟 (DGE) 是胰腺切除术的典型并发症。 DGE不是致命的并发症，并且通过一种新的重建方法降低了DGE的发生率。 11 据报道，腹内出血是胰十二指肠切除术后不太常见的并发症，在大多数系列中发生率在 2% 至 8% 之间。 12-17 然而，如果发生胰瘘和腹内脓肿，腹内出血的发病率会从 6% 增加到 26%。 13, 14, 16, 18 此外，据报道，胰十二指肠切除术后腹内出血的死亡率为 18% 至 38%，尽管随着手术技术和围手术期管理的最新进展，死亡率已降至 5% 以下。 12-16腹内出血一般表现为突发性大出血，腹内出血的预防和及时处理是降低胰十二指肠切除术死亡率的重要问题。因此，在大量腹腔出血发生之前识别任何体征被认为很重要。血管造影是
The morbidity rate after pancreatic head resections still remains high—in the range of 22% to 65%. 1–10 A pancreatic fistula and delayed gastric empting (DGE) are characteristic complications of a pancreatic resection. DGE is not a lethal complication, and the incidence of DGE has been reduced by a novel reconstruction method. 11 Intraabdominal hemorrhage, with an incidence varying between 2% and 8% in most series, has been reported as a less common complication after a pancreaticoduodenectomy. 12–17 However, the morbidity rate of intraabdominal hemorrhage increases from 6% to 26% if a pancreatic fistula and intraabdominal abscess occur. 13, 14, 16, 18 Moreover, the mortality rate for an intraabdominal hemorrhage has been reported to range from 18% to 38% after a pancreaticoduodenectomy, although the mortality rate has decreased to less than 5% with recent advances in surgical techniques and perioperative management. 12–16Intraabdominal bleeding generally presents as emergent massive bleeding, and the prevention and immediate management of intraabdominal hemorrhage are important issues to decrease the mortality rate in pancreaticoduodenectomy. Therefore, it is considered to be important to identify any signs before the onset of massive intraabdominal hemorrhage. Angiography is