Drainage volume on the postoperative first day after distal pancreatectomy predicts the occurrence of pancreatic fistula
2019
Objective
To analyze the predictive factors of clinically relevant pancreatic fistula after distal pancreatectomy.
Methods
The perioperative data of 154 patients undergoing distal pancreatectomy at Anhui Provincial Hospital from Jan 2013 to Jan 2018 were retrospectively analyzed. 29 clinical factors were analyzed using SPSS 22.0.
Results
The univariate analysis of clinically relevant pancreatic fistula after distal pancreatectomy showed: body mass index, preoperative ALT level, pre- operation and first day after operation pre-albumin level, drain fluid volume on the first postoperative day, first postoperative day blood glucose level, combined with diabetes and ASA score were risk factors for clinically relevant pancreatic leakage (P<0.05). Multivariate analysis indicated that drain fluid volume on the first postoperative day and the preoperative ALT level were independent risk factors for clinically relevant pancreatic leakage (P<0.05).
Conclusion
The drainage volume on the first postoperative day can predict the occurrence of clinically relevant pancreatic fistula after distal pancreatectomy.
Key words:
Pancreatectomy; Pancreatic fistula; Risk factors
Keywords:
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