Abstract:

With the rapid development of laparoscopic pancreaticoduodenectomy, effective prevention and treatment of postoperative pancreatic fistula and bleeding has become the key to improve the safety of laparoscopic pancreaticoduodenectomy. The prevention of pancreatic fistula and bleeding after pancreaticoduodenectomy should run through the perioperative period. Comprehensive prevention should be carried out by full preoperative evaluation, adjustment of preoperative state, fine intraoperative operation, selection of appropriate anastomosis and drainage, rational use of drugs and close monitoring. Timely and effective measures should be taken to deal with postoperative pancreatic fistula and postoperative bleeding, including keeping drainage smooth, controlling infection, strengthening nutrition and choosing reasonable timing and method of intervention, so as to maximize the benefit of patients through multidisciplinary combined treatment.

Key words: Pancreaticoduodenectomy, Laparoscopes, Pancreatic fistula, Postoperative hemorrhage, Postoperative complications