运用直线切割闭合器的胰体尾切除术后胰瘘的危险因素分析

摘要

目的:探讨运用直线切割闭合器的胰体尾切除术后胰瘘的危险因素.方法:回顾性分析24例运用直线切割闭合器的胰体尾切除术患者的临床资料.收集患者指标包括性别、年龄、是否糖尿病、体重指数、术前白蛋白、胰颈厚度、手术方式、手术时间、失血量、胰腺质地、病理类型等,分析各指标与术后胰瘘的关系.结果:单因素及多因素分析结果显示,胰瘘与性别、年龄、是否糖尿病、体重指数、术前白蛋白、手术方式、手术时间、失血量、胰腺质地、病理类型等因素无关,差异均无统计学意义(P＞0.05),而与胰颈厚度有关,差异有统计学意义(P＜0.05).结论:胰颈厚度是运用直线切割闭合器的胰体尾切除术后胰瘘的危险因素.%Objective:To investigate risk factors for pancreatic fistula after distal pancreatectomy using linear cutter closure.Methods:The clinical data of patients had distal pancreatectomy using stapler closure were analyzed retrospectively.The gender,age,diabetes,body mass index,preoperative albumin,pancreatic neck thickness,operation mode,operation time,blood loss,pancreas texture,pathological type were analyzed,the relationship between various indexes and postoperative pancreatic fistula was analyzed.Resuits:Single factor and multi factor analysis showed that pancreatic fistula was not related to gender,age,diabetes mellitus,body mass index,preoperative albumin,mode of operation,operation time,blood loss,pancreas texture,pathological type and so on,the differences were not statistically significant (P ＞0.05),however,it was related to the thickness of the pancreatic neck,and the differences were statistically significant (P ＜ 0.05).Conclusion:Pancreatic neck thickness is the risk factor for pancreatic fistula after distal pancreatectomy using linear cutter closure.