紀要論文 Perioperative Management of Pancreaticoduodenectomy
膵頭十二指腸切除術の周術期管理
Perioperative Management of Pancreaticoduodenectomy

木村, 理

内容記述
 The importance of perioperative management in pancreaticoduodenectomy has trebled, as the size of the elderly population continues to increase yearly. Recently, in our department, 17.6 percent of 159 patients undergoing pancreaticoduodenectomy were 75 years or older. Of greatest concern is the prevention of postoperative pneumonia. We have obtained favorable results through preoperative care by having patients strengthen respiratory muscles through incentive spirometry, practice walking, going up and down stairs, and practice expectoration of sputum using tissues. In postoperative care, we consistently apply, whenever appropriate, tapping and vibration to the entire back, prone therapy, and hyperbaric oxygen therapy, among other things. In preparation for surgery, we make the patient conscious of the imminent major surgery, as the patient must exhibit a strong will and readiness to fight the disease. This article also explains the importance and methods of drain placement and continuous lavage of the drains in relation to pancreaticoduodenectomy.(Kimura in Geka(Nankodo. Co)74: 1091-1095, 2012)
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