| 刘 毅,焦 猛,郭 森.改良胰十二指肠切除术185例手术体会[J].肿瘤学杂志,2015,21(10):810-813. |
| 改良胰十二指肠切除术185例手术体会 |
| Individualized End-side Pancreaticojejunostomy for Pancreaticoduodenectomy |
| 投稿时间：2015-03-30 |
| DOI：10.11735/j.issn.1671-170X.2015.10.B006 |
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| 中文关键词: 胰十二指肠切除术 胰瘘 吻合 |
| 英文关键词:Whipple operation pancreatic fistula anastomosis |
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| 中文摘要: |
| 摘 要：［目的］ 探讨胰十二指肠切除术中胰腺空肠端侧吻合技术。［方法］ 回顾性分析185例胰十二指肠切除术行胰腺空肠端侧吻合患者的临床资料，结合术后并发症及死亡率、住院时间等，探讨胰腺空肠端侧吻合技术。［结果］ 根据患者胰腺的情况如质地、厚度、胰管直径、胰管后壁胰腺组织的厚度、有无炎症，结合空肠的直径、空肠壁的厚度选择胰管空肠黏膜—黏膜吻合、端侧套入式吻合等不同的吻合方式。术中胰肠重新吻合9例。术后胰瘘11例、胆瘘4例、死亡4例。胰管空肠黏膜—黏膜吻合时间较长。［结论］ 根据胰腺和空肠的情况进行个体化的胰管空肠黏膜—黏膜吻合、端侧套入式吻合等不同的吻合是胰十二指肠切除术中胰腺空肠吻合的理想选择。 |
| 英文摘要: |
| Abstract：［Purpose］ To analyze the procedure of end-side pancreaticojejunostomy after pancreaticoduodenectomy (PD). ［Methods］ The clinical data of 185 patients who underwent PD were reviewed retrospectively. ［Results］ Individualized end-side pancreaticojejunostomy was performed according to the thickness of pancreas，the diameter of pancreas duct and the pancreatitis combined with the diameter of jejunum and the thickness of the jejunum wall. Re-ananstomosis of pancreaticojejunostomy was performed on 9 patients during operation. Pancreas fistula was occurred on 11 patients，bile fistula on 4 patients. Four patients died in pancreatic fistula and heart failure postoperation. ［Conclusion］ Individualized end-side pancreaticojejunostomy according to the local condition of the operation is optimal for pancreaticoduodenectomy. |
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