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Hémorragie Apres Duodeno-Pancreatectomie Cephalique by Hadrich, Zied

Hémorragie Apres Duodeno-Pancreatectomie Cephalique

by Zied Hadrich , Maissa Bellaaj
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Book cover type: Paperback
  • ISBN13: 9786206707554
  • Binding: Paperback
  • Subject: N/A
  • Publisher: Editions Universitaires Europeennes
  • Publisher Imprint: Editions Universitaires Europeennes
  • Publication Date:
  • Pages: 100
  • Original Price: GBP 51.0
  • Language: French
  • Edition: N/A
  • Item Weight: 159 grams
  • BISAC Subject(s): General

La duodénopancréatectomie céphalique (DPC) est une chirurgie lourde grevée d'une morbi-mortalité élevée. L'hémorragie post DPC est l'une des complications les plus redoutable. L'objectif de cette étude est de déterminer son incidence et les facteurs associés à sa survenue.Il s'agit d'une étude rétrospective descriptive et analytique. Nous avons colligé 32 patients. L'âge moyen était 62 ans, sexe-ratio 0.68 et la durée opératoire moyenne était 362 min. Le taux de mortalité était 34%. Le taux de morbidité globale était de 54%.Le taux des complications spécifiques était de 44% dominées par l'hémorragie 31% (responsable de 9% de mortalité).Une hémorragie grade A est survenue chez 3% des patients, une hémorragie grade B chez 6% des patients et une hémorragie grade C chez 16% des patients. En étude univariée, le genre masculin(p=0.045), la fistule pancréatique(p=0.037) et la durée opératoire(p=0.017) étaient significativement associés à l'hémorragie. Après construction de la courbe de, le seuil de la durée opératoire était de 395min. En analyse multivariée, la fistule pancréatique et la durée opératoire ont été retenues.

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