title: [Risk factors for postoperative complications and in-hospital death in distal pancreatectomy].
abstract: OBJECTIVE
  To explore the risk factors for postoperative complications and in-hospital death of distal pancreatectomy (DP).
  
  
  METHODS
  Retrospective reviews were conducted for 223 patients undergoing distal pancreatectomy. Their perioperative data and postoperative rates of morbidity and mortality were collected. And the risk factors for postoperative complications and in-hospital death were analyzed.
  
  
  RESULTS
  The overall morbidity rate of distal pancreatectomy was 26.9% (60/223). And mortality occurred in 3 patients (1.35%). Pancreatic fistula was the most common complication with an incidence rate of 19.3%. Univariate analysis identified location of tumor, operative duration, estimated intraoperative blood loss, use of stapler, splenectomy and multivisceral resection were risk factors for post-DP complications. And operative duration and estimated intraoperative blood loss contributed to in-hospital death after DP. Multivariate analysis revealed that operative duration was an independent factor for increased postoperative complication rate. No independent factor was found for overall in-hospital morbidity.
  
  
  CONCLUSIONS
  Operative duration is an independent risk factor for postoperative complications. Other parameters have no significant effects on postoperative complications or overall in-hospital morbidity.
authors: Hospital and Institute of Hepatobiliary Surgery, Chinese People's Liberation Army General Hospital, Beijing 100853, China.
authors: Yongliang
authors: Y
authors: Chen
authors: Hospital and Institute of Hepatobiliary Surgery, Chinese People's Liberation Army General Hospital, Beijing 100853, China. Email: wys936602@163.com.
authors: Zhiqiang
authors: Z
authors: Huang
authors: Hospital and Institute of Hepatobiliary Surgery, Chinese People's Liberation Army General Hospital, Beijing 100853, China.
authors: Jiahong
authors: J
authors: Dong
authors: Hospital and Institute of Hepatobiliary Surgery, Chinese People's Liberation Army General Hospital, Beijing 100853, China.
authors: Wenzhi
authors: W
authors: Zhang
authors: Hospital and Institute of Hepatobiliary Surgery, Chinese People's Liberation Army General Hospital, Beijing 100853, China.
authors: Xiaoqiang
authors: X
authors: Huang
authors: Hospital and Institute of Hepatobiliary Surgery, Chinese People's Liberation Army General Hospital, Beijing 100853, China.
authors: Yanbin
authors: Y
authors: Wang
authors: Hospital and Institute of Hepatobiliary Surgery, Chinese People's Liberation Army General Hospital, Beijing 100853, China.
authors: Mingyi
authors: M
authors: Chen
authors: Hospital and Institute of Hepatobiliary Surgery, Chinese People's Liberation Army General Hospital, Beijing 100853, China.
authors: Zhiwei
authors: Z
authors: Liu
authors: Hospital and Institute of Hepatobiliary Surgery, Chinese People's Liberation Army General Hospital, Beijing 100853, China.
authors: Tao
authors: T
authors: Wan
authors: Hospital and Institute of Hepatobiliary Surgery, Chinese People's Liberation Army General Hospital, Beijing 100853, China.
authors: Jian
authors: J
authors: Feng
mesh_terms: D016063:Blood Loss, Surgical; D006761:Hospitals; D006801:Humans; D015999:Multivariate Analysis; D010180:Pancreatectomy; D010185:Pancreatic Fistula; D011183:Postoperative Complications; D011184:Postoperative Period; D012189:Retrospective Studies; D012307:Risk Factors; D013156:Splenectomy