2013•Shiyong yixue zazhiRequires access
Risk factors for pancreatic fistula after pancreatoduodenectomy
Hou Bao-hu
Open publisher page 0 citations
Abstract
Objective To investigate the risk factors for pancreatic fistula after pancreatoduodenectomy (PD). Methods Data of patients received PD in our hospital in the recent 6 years was analyzed. Risk factors for pancreatic fistula after PD were analyzed. Additionally, the independent risk factors were screened and included in a multivariate Logistic regression for analysis. Results A total of 202 cases were included in this analysis , among whom 26 cases had postoperative pancreatic fistula (12.87%). There were significant differences on terms of age, BMI, ASA score, pancreatic duct diameter and soft pancreas between the two groups (P0.05). A further multivariate Logistic regression revealed that the pancreatic duct diameter smaller than 3 mm and soft pancreas could be treated as the independent risk factors for postoperative pancreatic fistula (pancreas texture OR=4.90, 95%CI: 1.12～18.91,P=0.02; pancreatic duct diameter OR = 3.76, 95% CI:1.51 ～ 12.41,P=0.03). Conclusion Pancreatic duct diameter smaller than 3 mm and soft pancreas were the independent risk factors for postoperative pancreatic fistula after PD.