胰十二指肠切除术后早期并发症及其危险因素研究进展

Review on the Risk Factors for Early Postoperative Complications Following Pancreaticoduodenectomy

摘要: 随着医疗水平与手术技术的飞速发展，有效预防并处理胰十二指肠切除术后早期并发症已成为提高该术式安全性的关键。然而，胰十二指肠切除术后早期各种并发症仍困扰着外科医生，损害着患者的利益。故胰十二指肠切除术后早期并发症的发生仍应以预防为主，充分认识到早期并发症的危险因素，改善术前患者一般状态、术中操作及术后的管理，尽量防止术后并发症的发生并将其代价降到最低。本文总结近期国内外相关文献，重点讲述胰十二指肠切除术后早期并发症及其危险因素，旨在为临床医生提供有关预防及预测胰十二指肠切除术后早期并发症的最新进展。

Abstract: With the rapid development of medical science and surgical techniques, prevention and manage-ment of early complications after pancreaticoduodenectomy has become the key to improve the safety of this operation. However, the early complications of pancreaticoduodenectomy remain the biggest problem for surgeons. Therefore, the prevention of early complications after pancreaticoduodenectomy should be the priority; the risk factors of early postoperative complica-tions should be fully recognized; the general status of the patients before operation, the operation procedure and the management after operation should be improved, to prevent the occurrence of postoperative complications and to minimize the cost. Based on the recent literature, this article focuses on the early complications post pancreaticoduodenectomy and their risk factors. The pur-pose of this article is to provide surgeons with the latest progress in the prevention and prediction of early complications after pancreaticoduodenectomy.