Postoperative complications of pancreatic cancer
summary
Pancreatic cancer is known as the "king of cancer", there is still no better treatment, most patients are found to be advanced. Generally, the patients who meet the operation conditions and have operation indications should be given the first choice of operation. However, the surgical difficulty of pancreatic cancer is the highest in general surgery, and some complications are inevitable. So what are the complications after pancreatic cancer surgery?
Postoperative complications of pancreatic cancer
First, pancreatic fistula: adequate drainage, nutritional support. The main treatment of pancreatic fistula is adequate drainage and nutritional support. Sometimes, doctors will grade patients according to their condition. Grade A is the smallest pancreatic fistula, which can recover in a few days without sequelae. Some patients were discharged for two months and had pancreatic fistula. At this time, it is necessary to observe and prevent infection.
Second, bleeding: strengthen preoperative correction. To prevent abdominal hemorrhage, we should strengthen the correction of coagulation function before operation, stop bleeding strictly during operation and check carefully before closing abdomen. When the amount of bleeding is small, stop bleeding first, and then decide whether blood transfusion is needed according to the situation, and closely observe the development of the disease. If Kwai is bleeding, operation should be stopped as soon as possible. Prevention and treatment of gastrointestinal bleeding, mainly to correct the nutritional status of patients before surgery, try to reduce the adverse reactions of surgery and anesthesia. Once it happens, it can take medicine to stop bleeding, gastrointestinal decompression, and embolization by gastroscope or angiography to stop bleeding. In severe cases, it can be treated by operation.
Third, diarrhea: rational drug use. If postoperative diarrhea can be controlled less than 4 times a day, it can not be treated. If more than 4 times, antidiarrheal drugs can be used under the guidance of doctors.
matters needing attention
In addition, the operation may also lead to gastroparesis. For the treatment of gastroparesis, it is usually to give gastrointestinal decompression or take drugs to promote gastrointestinal motility under the guidance of doctors, and the specific treatment plan, the doctor should according to the actual situation of each patient.