Diagnosis,treatment and etiology of hepatic infarction and abscess after pancreaticoduodenal surgery / 中国实用外科杂志
Chinese Journal of Practical Surgery
; (12): 599-605, 2019.
Article
em Zh
| WPRIM
| ID: wpr-816433
Biblioteca responsável:
WPRO
ABSTRACT
OBJECTIVE:
To explore the causes and treatment of hepatic infarction and abscessafter pancreaticoduodenal surgery.METHODS:
The clinical data of 11 cases of hepatic infarction or abscess after pancreaticoduodenal surgery in Peking Union Medical College Hospital between January 2012 and December 2018 were analyzed retrospectively.RESULTS:
A total of 11 patients were diagnosed of hepatic infarction or abscess after PD.The overall mortality rate was27.3%(3 of 11 patients).54.5%(6/11)had biliary fistula.Of the 11 patients,7 had proper hepatic artery and right accessory hepatic artery occlusion or stenosis,1 had abdominal trunk root stenosis before operation,and 3 had PV stenosis.Enterococcus and Klebsiella were the organisms most frequently cultured,and fungi were also the common pathogens.Antibiotics and selective percutaneous drainage were the main means of treatment.CONCLUSION:
Ischemia of hepatic artery and portal vein after PD is the main cause of liver infarction and liver abscess.Biliary fistula and multiple pathogenic bacteria are often associated with high mortality.
Texto completo:
1
Índice:
WPRIM
Tipo de estudo:
Diagnostic_studies
/
Etiology_studies
Idioma:
Zh
Revista:
Chinese Journal of Practical Surgery
Ano de publicação:
2019
Tipo de documento:
Article