Abstract
Pancreaticoduodenectomy (PD) is one of the standard surgical procedures for the treatment of the lesion in the head of the pancreas, the lower common bile duct, the duodenum, and the periampullary region. The postoperative complications include pancreatic fistula, postoperative hemorrhage, intra-abdominal infections, delayed gastric emptying, and so on. The mortality after PD was reduced to less than 5% with the development of minimally invasive instruments, the improvement of surgical skills, and the completion of perioperative management. Although the incidence is low, pancreatic postoperative hemorrhage (PPH) is even critical with a mortality rate of 30–50% [1, 2]. Therefore, the early diagnosis and surgical treatment of PPH has become one of the key issues of pancreatic surgeons.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Ren S, Liu P, Zhou N, et al. Complications after pancreaticoduodenectomy for pancreatic cancer: a retrospective study. Int Surg. 2011;96(3):220–7.
Miao Y, Lin S, Gao W. Surgical strategy for hemorrhage post-pancreaticoduodenectomy. Chin J Surg. 2014;52(9):647–50.
Wente MN, Veit JA, Bassi C, et al. Postpancreatectomy hemorrhage (PPH):an international study group of pancreatic surgery (ISGPS) definition. Surgery. 2007;142(1):20–5.
Study Group of Pancreatic Surgery in Chinese Society of Surgery of Chinese Medical Association; Pancreatic Disease Committee of Chinese Research Hospital Association. A consensus statement on the diagnosis, treatment, and prevention of common complications after pancreatic surgery (2017). Chin J Surg. 2017;55(5):328–34.
Shen B, Chen Y, Peng B, et al. Prevention and treatment of the hemorrhage after pancreatectomy. Chin J Dig Surg. 2018;17(7):682–6.
Wellner UF, Kulemann B, Lapshyn H, et al. Postpancreatectomy hemorrhage - incidence, treatment, and risk factors in over 1,000 pancreatic resections. J Gastrointest Surg. 2014;18(3):464–75.
Chua AE, Ridley LJ. Diagnostic accuracy of CT angiography in acute gastrointestinal bleeding. J Med Imaging Radiat Oncol. 2008;52(4):333–8.
Han GJ, Kim S, Lee NK, et al. Prediction of late postoperative hemorrhage after Whipple procedure using computed tomography performed during early postoperative period. Korean J Radiol. 2018;19(2):284–91.
Lu JW, Ding HF, Wu XN, et al. Intra-abdominal hemorrhage following 739 consecutive pancreaticoduodenectomy: risk factors and treatments. J Gastroenterol Hepatol. 2018, Dec 4. E-published.
Khalsa BS, Imagawa DK, Chen J, et al. Evolution in the treatment of delayed postpancreatectomy hemorrhage: surgery to interventional radiology. Pancreas. 2015;44(6):953–8.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2020 Springer Nature Singapore Pte Ltd.
About this chapter
Cite this chapter
Tan, HT., Guo, DX., Sun, B. (2020). Surgical Treatment of Postoperative Hemorrhage. In: Liu, Yb. (eds) Surgical Atlas of Pancreatic Cancer. Springer, Singapore. https://doi.org/10.1007/978-981-32-9864-4_26
Download citation
DOI: https://doi.org/10.1007/978-981-32-9864-4_26
Published:
Publisher Name: Springer, Singapore
Print ISBN: 978-981-32-9863-7
Online ISBN: 978-981-32-9864-4
eBook Packages: MedicineMedicine (R0)