title: [Clinical analysis of 153 pancreaticoduodenectomies].
abstract: 153 pancreaticoduodenectomies performed from 1976 to 1995 were analyzed. The morbidity was 41.2% and the mortality 5.2%. Delayed gastric emptying (DGE) was the most common complication, and severe complications included introabdominal abscess, upper GI bleeding, and pancreatic fistula. The mortality decreased significantly from 15.6% before 1990 to 0.9% after 1990 and the morbidity decreased from 44.4% to 31.9%, and delayed gastric emptying was the major cause of mobidity after 1990 in pylorus preserving procedures.
authors.affiliation: Department of General Surgery, Changhai Hospital, Shanghai.
authors.forename: Y
authors.initials: Y
authors.lastname: Zhang
authors.forename: Y
authors.initials: Y
authors.lastname: Tang
authors.forename: B
authors.initials: B
authors.lastname: Wang
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D014670:Ampulla of Vater / Q000601:surgery; D003138:Common Bile Duct Neoplasms / Q000401:mortality / Q000601:surgery*; D005260:Female; D005746:Gastric Emptying; D006801:Humans; D008297:Male; D008875:Middle Aged; D010190:Pancreatic Neoplasms / Q000401:mortality / Q000601:surgery*; D016577:Pancreaticoduodenectomy / Q000009:adverse effects / Q000401:mortality; D012189:Retrospective Studies