Postoperative complications and treatment methods of pancreatic cancer

Currently, the most effective treatment for pancreatic cancer is surgery, but due to the particularity of pancreatic cancer, there will be some special complications, such as postoperative bleeding, pancreatic fistula, gastric paralysis, etc. Today we will introduce the postoperative complications of pancreatic cancer and their treatment methods.

Complications after pancreatic cancer surgery: Postoperative bleeding Postoperative bleeding within 24 hours after surgery is acute bleeding, and more than 24 hours is delayed bleeding. It mainly includes abdominal bleeding and gastrointestinal bleeding.
Complications after pancreatic cancer surgery: Intraperitoneal bleeding is mainly caused by incomplete hemostasis during surgery, the illusion of hemostasis at the bleeding point under hypotension during surgery, or the detachment of the ligature, the detachment of the electrocoagulation scab, insufficient examination before closing the abdomen, and coagulation mechanism disorders are also one of the causes of bleeding. The main prevention and treatment methods are strict hemostasis during surgery, careful examination before closing the abdomen, suturing of important blood vessels, and correction of coagulation function before surgery. When intraperitoneal bleeding occurs, it should be taken very seriously. If the amount is small, it can be stopped by blood transfusion and observed. If the amount is large, surgery should be performed as soon as possible to stop the bleeding while correcting the microcirculation disorder.
Complications after pancreatic cancer surgery: gastrointestinal bleeding and stress ulcer bleeding, which often occur more than 3 days after surgery. Its prevention and treatment mainly focus on correcting the patient's nutritional status before surgery, and minimizing the impact of surgery and anesthesia. The treatment is mainly conservative treatment, using hemostatic drugs, acid suppression, gastrointestinal decompression, gastric lavage with iced normal renal saline injected through a gastric tube, and hemostasis through gastroscopy and angiography embolization. Those who are ineffective with conservative treatment can undergo surgery.
Complications after pancreatic cancer surgery: pancreatic fistula. If amylase-containing fluid is still drained 7 days after surgery, pancreatic fistula should be considered. The Johns Hopkins standard is that the pancreatic enzyme content in the peritoneal drainage fluid is greater than 3 times the serum value and the daily drainage is greater than 50 ml. The treatment of pancreatic fistula is mainly adequate drainage and nutritional support.