Currently, the most effective treatment for pancreatic cancer is surgery, but because of the special nature of pancreatic cancer, there are some special complications, such as postoperative bleeding, pancreatic fistula, gastroparesis, etc. Today we will introduce the management of complications of pancreatic cancer surgery. Postoperative complications of pancreatic cancer: postoperative bleeding Postoperative bleeding is acute bleeding within 24 hours after surgery and delayed bleeding beyond 24 hours. It mainly includes abdominal bleeding and gastrointestinal bleeding. Postoperative complications of pancreatic cancer: abdominal bleeding is mainly due to incomplete intraoperative hemostasis, the illusion of bleeding point hemostasis in the state of intraoperative hypotension or detachment of ligature wire or electrocoagulation scab, insufficient examination before closing the abdomen, and disorder of coagulation mechanism is also one of the causes of bleeding. The main prevention and control methods are strict hemostasis during surgery, careful examination before closing the abdomen, important vascular sutures, and preoperative correction of coagulation function. When there is abdominal bleeding, great attention should be paid to it. Small amount of bleeding can be stopped and transfused for observation, while large amount of bleeding can be stopped by surgery as soon as possible while correcting microcirculatory disorders. Postoperative complications of pancreatic cancer: Gastrointestinal bleeding Stress ulcer bleeding, which mostly occurs more than 3 days after surgery. Its prevention and treatment is mainly to correct the patient’s nutritional status before surgery, to minimize the blow of surgery and anesthesia, and the treatment is mainly conservative, applying hemostatic drugs, acid suppression, gastrointestinal decompression, gastric lavage by injecting ice positive renal saline through the gastric tube, and also hemostasis by gastroscopy and hemostasis by angiographic embolization, and surgery can be performed if conservative treatment is not effective. Postoperative complications of pancreatic cancer: pancreatic fistula The possibility of pancreatic fistula should be considered if the fluid containing amylase is still draining 7 days after surgery. Postoperative complications of pancreatic cancer: gastroparesis There is no unified standard for gastroparesis, but the common diagnostic criteria are: no obstruction of gastric outflow tract confirmed by examination; gastric fluid >800ml/d for more than 10 days; no obvious abnormalities of water-electrolyte and acid-base balance; no underlying diseases that cause gastric weakness; and no use of smooth muscle contraction drugs. The treatment of gastroparesis is mainly adequate gastrointestinal decompression, enhanced nutritional psychotherapy or psychological suggestion therapy; application of gastrointestinal motility drugs; treatment of underlying disorders and disorders of nutritional metabolism; gastroscopy can be tried and repeatedly and rapidly inflated into the stomach for discharge, and treatment can be repeated for 2-3 days. Any postoperative complications of pancreatic cancer should be actively dealt with to prevent serious conditions. Dealing with postoperative complications can prove the success of pancreatic cancer surgery, reduce pain for patients and prolong their life.