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A N Cheglakov¹, K G Shostka¹, N V Mankevich¹

¹Saint Petersburg State University, Saint Petersburg, Russia.

|September 9, 2025

概括

胰腺切除术 (CP) 完成胰腺切除术并发症显示高风险,包括死亡率高达64%. 识别 fulminant necrotizing 胰腺炎作为一种指示可能会改进外科手术方法.

科学领域:

胃肠病学和肝病学
手术瘤学手术瘤学
腹部外科手术腹部外科手术

背景情况:

胰腺切除术后的术后并发症是一个重大的临床问题.
完成胰腺切除术 (CP) 是一种用于管理这些严重并发症的救援程序.
在这种情况下,对与CP相关的结果和风险进行了有限的分析.

研究的目的:

系统地审查和分析关于完成胰腺切除术 (CP) 的现有文献,用于管理胰腺切除术后的术后并发症.
确定与CP相关的并发症,手术参数和患者结局的范围.
评估 CP 后报告的死亡率和发病率.

主要方法:

对1992年至2023年间发表的原始文章和评论进行了全面的文献搜索.
包括的研究是那些报告完成胰腺切除术的研究,患者队列大小为5个或更多.
数据提取的重点是手术指标,并发症类型和患者结果.

主要成果:

在CP期间的平均血液损失在500至2180毫升之间,手术时间在144至340分钟之间.
常见的并发症包括液体积聚,,胆汁泄漏和出血,以及引人注目的静脉胃堵塞风险.
重复切除术的发生率差异很大 (7%至63%),术后死亡率高达64%.

结论:

完成胰腺切除术与严重的发病率和死亡率有关.
承认 fulminant necrotizing 胰腺炎作为一个独特的临床实体,可能会成为CP的绝对指示.
确定像 fulminant necrotizing 胰腺炎这样的特定症状,可以帮助规范化手术策略,并改善治疗结果的分析.

关键词:

完成的胰腺切除术.经手术后的瘤性胰腺炎胰腺塞 C 胰腺塞胰腺缩的死亡.

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