RT Journal Article
SR Electronic
T1 Cause analysis and therapeutic methods of chylous leakage after pancreaticoduodenectomy
JF Saudi Medical Journal
JO Saudi Med J
FD Prince Sultan Military Medical City
SP 1396
OP 1399
VO 35
IS 11
A1 Ji, Weiping
A1 Wang, Juan
A1 Song, Bin
A1 Zheng, Kailian
A1 Ma, Hongyun
A1 Nadaf, Asaad
A1 Shao, Zhuo
A1 Jin, Gang
YR 2014
UL http://smj.org.sa/content/35/11/1396.abstract
AB OBJECTIVES: To study and analyze the causes of chylous leakage after pancreaticoduodenectomy.METHODS: We retrospectively analyzed 381 patients who underwent pancreaticoduodenectomy (including pylorus-preserving pancreaticoduodenectomy) in Shanghai Chang Hai Hospital Affiliated to the Second Military Medical University, Shanghai, China between January 2010 and December 2012. We also studied the relationship between postoperative chylous leakage and age, gender, surgical approach, and the tumor nature.RESULTS: The chylous leak was placed in 23 patients and the incidence of chylous leakage in patients was 0.6%. There was no significant difference in gender, age and tumor pathological pattern between the chylous leakage group and non-chylous leakage group. The incidence of chylous leakage in patients with N1 grade cancer was significantly higher than that in patients with N0 grade cancer (p=0.001). The incidence of chylous leakage in patients suffering R0 resection was significantly higher than that in patients suffering non-R0 resection (p=0.008). All patients were successfully treated conservatively.CONCLUSION: The incidence of chylous leakage was 0.6% and the chylous leakage was closely linked with the tumor’s grade malignancy and the range of radical resection.